综合医院中医科门诊躯体化筛选阳性患者的临床分布特征

Study on the characteristics of clinical distribution of somatic complaint patients in TCM outpatient clinic of a general hospital

目的了解综合医院中医科门诊躯体化筛选阳性患者的临床分布特征。方法连续纳入12个月中医科门诊患者3 176人,进行SCL-90问卷调查,选择躯体化因子分>2分的患者191人,运用SPSS18.0软件对其SCL-90量表进行统计分析。结果中医科门诊躯体化筛选阳性患者占就诊患者的6.01%;其中出现频次较高的躯体化症状依次为乏力、胃肠不适、入睡困难、早醒、咽部不适。其人际关系敏感、抑郁、焦虑因子分与全国常模相比,具有统计学差异(P<0.05)。结论综合医院中医科躯体化因子筛选阳性患者在就诊患者中占有一定比率,其中女性更年期患者居多,其在人际关系敏感、抑郁、焦虑等情绪障碍方面存在一定问题。

Objective To understand the characteristics of clinical distribution of somatic complaint patients in TCM outpatient clinic of a general hospital. Methods A survey of 3176 patients in TCM outpatient clinic by SCL -90 tabulation, patients with somatic factor scores ≥2 and SPSS 18.0 software had been applied for statistical analysis. Results Somatic patients accounted for 6.01% in all TCM outpatients ; weak, abdominal distension, insomnia and throat irritation were the frequently occurred clinical symptoms of these cases. In comparison with the national norm, and the difference in depressive factor and anxiety factor scores was statistically significant. Conclusion There are certain proportion of so- matic complaint patients in TCM outpatient clinic in a general hospital, most of them are ehmaeteric women, with problems of depression and anxiety.