综合医院精神科联络会诊分析

The analysis of consultation-liaison psychiatry in a general hospital

目的：探讨综合医院内精神科联络会诊的分布特征。方法：收集某综合医院1年内精神科联络会诊病例688例,完成自制调查问卷,使用SPSS统计软件进行描述性统计分析。结果：会诊病例最多分布在神经内科（19.3%）,其次为心内科（9.7%）、骨科（9.3%）、消化内科（8.9%）、呼吸科（8.7%）以及脑外科（7.0%）;患者年龄分布以40~69岁（53.2%）和20~29岁（13.5%）为多;会诊主要原因为急性脑病综合征（25.7%）、精神病性症状（22.8%）、不能解释的躯体症状（12.9%）和既往有精神障碍史而目前无明显症状者（13.8%）;会诊诊断主要包括躯体疾病伴精神障碍（21.4%）、精神分裂症和其他精神病性障碍（20.9%）、脑器质性精神障碍（20.1%）等。结论：综合医院精神科联络会诊涉及各科室、各年龄段;主要会诊原因为急性脑病综合征和阳性精神病性症状,而抑郁、焦虑症状关注较少。

Objective： The purpose of this paper was to explore the distribution of psychiatric consultation in general hospital. Method： Six hundred and eighty-eight cases were selected from non psychiatric department in a general hospital. Self-made questionnaires were finished. Descriptive statistical analysis was used by SPSS. Results： The most patients came from the following department： department of internal neurology（ 19. 3%）,department of cardiology（ 9. 7%）,department of orthopedics（ 9. 3%）,department of gastroenterology（ 8. 9%）,department of respiratory（ 8. 7%） and neurosurgery（ 7. 0%）. The main patients ages were 40 ~ 69 years old（ 53. 2%） and 20 ~ 29 years old（ 13. 5%）. The main reasons of consultation were acute brain syndrome（ 25. 7%）,psychotic symptoms（ 22. 8%）,medically unexplained physical symptoms（ 12. 9%） and the history of mental disorder without symptoms（ 13. 8%）. The main diagnoses were as follows： mental disorders due to physical diseases（ 21. 4%）,schizophrenia and other psychotic disorder（ 20. 9%）,brain organic mental disorders（ 20. 1%）. Conclusion： In current,non psychiatrists paid more attention to patient＇s mental health,mainly include positive mental symptoms,especially acute main syndrome and psychotic symptoms. But depression and anxiety symptoms were got less attention.