给予强制治疗的245例肇事肇祸精神障碍患者的临床调查分析

Clinical investigation and analysis on 245 patients with troublemaking mental disorder who were given compulsory treatment

目的探讨给予强制治疗的245例肇事肇祸精神障碍患者的临床调查分析。方法调查和分析2017年7月1～31日广州市强制医疗所给予强制治疗的245例肇事肇祸精神障碍患者临床资料。采集和观察精神障碍患者一般资料、临床特点、疾病构成、救治结局情况。结果肇事肇祸精神障碍患者在年龄20～40岁149例、41～60岁65例、> 60岁31例,文化小学以下87例、初中69例、高中77例、大专以上12例,职业农民57例、无业者154例、工人12例,婚姻未婚189例、离婚45例、已婚11例,地区本市56例、外市189例。肇事肇祸精神障碍患者在首次住院197例、不是首次住院48例,前驱期症状明显42例、不明显203例,起病急性119例、亚急性61例、慢性65例,临床疗效治愈49例、显效126例、有效62例、无效8例。肇事肇祸精神障碍患者在精神分裂症134例、精神发育迟滞13例、情感障碍44例、器质性精神障碍13例、人格障碍22例、未特定的精神障碍19例。肇事肇祸精神障碍患者社会救助225例(91.8%)、回归家庭15例(6.2%)、转院5例(2.0%)。结论肇事肇祸精神障碍患者具有独特的临床特点及疾病分型,及时干预和监测患者病情,应加强家庭、社会救助,值得临床选择。

Objective To explore he clinical investigation and analysis on 245 patients with troublemaking mental disorder who were given compulsory treatment.Methods Clinical data of 245 patients with troublemaking mental disorder who were given compulsory treatment in the Compulsory Medical Center of Guangzhou from July 1,2017 to July 31 were investigated and analyzed.General data,clinical features,disease constitution and treatment outcomes of patients with mental disorders were collected and observed.Results Among patients with troublemaking mental disorder,there were 149 patients aged 20 to 40 years,65 patients aged 41 to 60 years and 31 patients aged over 60 years.Cultural background:87 patients graduated from primary school,69 patients graduated from junior high school,77 patients graduated from senior high school and 12 patients graduated from junior college or above.There were 57 professional farmers,154 unemployed workers and 12 workers.There were 189 unmarried cases,45 divorced cases and 11 married cases.There were 56 cases living in this region and 189 cases living in other cities.There were 197 cases of hospitalization for first time and 48 cases of non-first hospitalization in patients with troublemaking mental disorder.There were 42 cases with obvious prodromal symptoms and 203 cases without obvious prodromal symptoms.There were 119 cases of acute onset,61 cases of sub-acute onset and 65 cases of chronic onset.49 cases were cured,126 cases were markedly effective,62 cases were effective and 8 cases were ineffective.There were 134 cases of schizophrenia,13 cases of mental retardation,44 cases of affective disorder,13 cases of organic mental disorder,22 cases of personality disorder and 19 cases of unspecified mental disorder in patients with troublemaking mental disorder.There were 225 cases of social assistance(91.8%),15 cases of returning to families(6.2%)and 5 cases of hospital transfer(2.0%)in patients with troublemaking mental disorder.Conclusion Patients with troublemaking mental disorders have unique clinical characteristics and disease classification.Intervention and monitoring of patients’conditions should be timely and assistance of family and society should be strengthened.It is worthy of clinical selection.