神经内科门诊抑郁障碍患者的临床特点

Clinical Characteristics of Patients With Depressive Disorders in Neurological Department of Internal Medicine

目的探讨神经内科门诊抑郁障碍患者的临床特点。方法以我院神经内科门诊收治的640例患者为研究对象,回顾分析其临床资料,观察抑郁障碍患者的临床特点。结果本组640例患者,门诊初诊抑郁障碍患病率为10.94%,其中女性、中年、无业及退休者所占比重较高;约68.57%抑郁障碍患者主诉头晕、头痛与失眠;HAMD平均评分为(16.8±4.1)分,以轻中度抑郁为主。结论神经内科门诊抑郁障碍患者发病率较高,临床症状主要以头晕、头痛及失眠为主,临床实践中应关注患者的临床特点,采取针对性的诊治措施,以此改善患者的生存质量。

Objective To investigate the clinical characteristics of neurological outpatients with depressive disorder in department of internal medicine. Methods 640 cases in department of internal medicine patients admitted as the research object in our hospital, retrospective analysis of the clinical data,observed the clinical characteristics of patients with depressive disorder. Results 640 cases of this group of patients,newly diagnosed depression sick rate was 10.94%,women,middle-aged,unemployed and retired persons accounted for a higher proportion.About 68.57%depressive disorder patients complained of dizziness,headache and insomnia. HAMD,the average score was（16.8±4.1）,with mild to moderate depression mainly. Conclusion Neurology outpatients with depressive disorder incidence rate is higher. Dizziness,headache and insomnia are the main clinical symptoms and clinical practice should pay close attention to the patient＇s clinical features,taken for diagnosis and treatment measures,in order to improve the quality of life of patients.