综合医院中医科门诊躯体形式障碍临床特点及其因素分析

目的探讨综合医院中医科门诊就诊的患者中自区体形式障碍（SFD）的流行病学情况、临床分型与临床特点。方法以DsM-IV作为诊断工具，以《躯体症状自评量表》作为症状评估工具，对三家综合性医院中医科门诊就诊的患者进行调查。结果中医科门诊就诊的患者中约有32．71％的患者存在躯体形式障碍，与对照组相比，躯体形式障碍患者中高龄、低文化程度、离婚／丧偶的患者的比例更高，就诊次数更多，主要以躯体化障碍和疼痛障碍为主要临床亚型，多数患者表现出≥2种的躯体症状。结论sFD是综合医院中医科门诊常见的疾病，正确的诊断与治疗，及时的转诊与会诊非常重要。

Objective To explore the prevalence, clinic types and clinic features of somatoform disorder （ SFD ） of outpatients intraditional Chinese medicine （ TCM ） department of general hospitals. Methods DSM-IV and Somato Symptom Self-rating Scale （ SSS ） were used as diagnostic criterion and rating scale to diagnose and evaluate outpatients in TCM department of three general hospitals. Results About 32.71% of all outpatients in TCM department had suffered with SFD. Compared with control group, patients with SFD were more in elderly, with lower education level, a higher proportion of being divorced/widowed, and more times of clinic visits. The most common sub-types of SFD in TCM department were somatization disorder and pain disorder. And most patients had two or more body symptoms. Conclusions SFD is a common disorder in TCM department of general hospitals, it is important for doctors in TCM department to correctly and properly diagnose and treat them and also timely consult and transfer them to psychological or psychiatric department.