2018年德州市德城区严重精神障碍患者登记资料分析

Analysis on registration data of patients with severe mental disorders, Decheng district,Dezhou city,2018

目的了解德州市德城区居民严重精神障碍患病及管理情况,为制定防治对策提供科学依据。方法对2018年山东精神障碍信息系统中德城区严重精神障碍资料进行汇总、分析。结果2018年德城区登记在册严重精神障碍患者1 816人,报告患病率为4.13‰。男性、女性报告患病率差异无统计学意义(P>0.05)。随着年龄的增加,男性和女性报告患病率均呈现上升趋势,60~岁年龄组达到最高,分别为9.98‰和10.01‰。60岁以上为高发年龄,60岁以上年龄组报告患病率(9.99‰)较60岁以下年龄组(3.21‰)明显增高,差异有统计学意义(P<0.01)。各病种报告患病率有高到低依次为:精神分裂症(2.68%)、精神发育迟滞伴发精神障碍(0.46%)、双相情感障碍(0.41%)、癫痫所致精神障碍(0.33%)、分裂情感性障碍(0.14%)、偏执性精神病(0.10%)。患者服药率为94.82%,规律服药率55.62%,在6种严重精神障碍病例中,服药率及规律服药率最高的均为精神发育迟滞伴发精神障碍,分别为98.04%、63.24%。结论德州市德城区居民严重精神障碍患病率较高,随着年龄增加明显上升,老年人群高发,患者规律服药率较低,精神分裂症是精神疾病防控工作的重点。

Objective To understand the prevalence and management status of serious mental disorders among residents in Decheng district,Dezhou city,so as to provide scientific basis for the formulation of prevention and control measures. Methods The data of severe mental disorders in Decheng district from the information system of mental disorders in Shandong was summarized and analyzed in 2018. Results In 2018,a total of 1 816 patients with severe mental disorders were registered in Decheng district,and the reported prevalence was 4.13‰.There was no statistical significance in the prevalence between men and women(P>0.05).The prevalence in both men and women increased with age,and reaching a peak of 9.98‰ and 10.01‰ respectively in the age group of 60 years and above.The serious mental disorders concentrated in the age group of 60 and above,and the prevalence(9.99‰) in the age group of over 60 was significantly higher than that in the age group of under 60(3.21‰)(P<0.01).The reported prevalence of various diseases from high to low were schizophrenia(2.68%),mental retardation accompanied by mental disorders(0.46%),bipolar disorders(0.41%),mental disorders caused by epilepsy(0.33%),split affective disorders(0.14%) and paranoid psychosis(0.10%).The medicine taking rate of patients was 94.82%,and the rate of regular medicine taking was 55.62%.Among the 6 severe mental disorders,the highest rate of medicine taking and regular medicine taking was mental retardation accompanied by mental disorders,which was 98.04% and 63.24% respectively. Conclusion The prevalence of serious mental disorders among the residents in Decheng district is relatively high,and it increases obviously with age.The prevalence is high in the elderly.The patient’s regular medication rate is low.Schizophrenia is the focus of mental disease prevention and control work.