首次诊断为急性而短暂的精神病性障碍转归分析

Outcome analysis of acute and transient psychotic disorders first diagnosed

目的:探讨首次入院诊断为急性而短暂的精神性障碍(ATPD)的转归及其影响因素。方法:采用回顾性研究,收集首次入院诊断为ATPD患者139例,利用住院病历系统、门诊病历系统和电话随访,了解患者首次诊断后转归,分析影响转归的相关因素。结果:34.5%维持ATPD原诊断,52.5%更改为精神分裂症,将转归为精神分裂症组与维持ATPD诊断患者分组比较,精神分裂症组患者较ATPD组发病年龄更早;病程更长,住院时间更长;ATPD患者男女发病比例为0.9:1。结论:首次诊断为ATPD的患者主要转归为精神分裂症,ATPD发病男女性别比例无显著差异。

Objective:To discuss the outcome of patients with ATPD diagnosed in the first admission,and the factors influencing the outcome.Method:A retrospective study was conducted to collect 139 patients diagnosed as ATPD at the first admission,and the inpatient medical record system,outpatient medical record system and telephone follow-up were used to understand the prognosis of patients after the first diagnosis,and analyze the relevant factors affecting the prognosis.Results:34.5%maintained the original ATPD diagnosis,52.5%changed to schizophrenia.compared the group of patients who maintained ATPD diagnosis with the group who were changed to schizophrenia,it found that the group of schizophrenia had earlier onset age than the ATPD group,had longer duration of untreated psychosis,and longer hospital stay;the ratio of males to females with acute and transient psychotic disorders was 0.9:1.Conclusion:Patients diagnosed with ATPD for the first time were mainly classified as schizophrenia;There was no significant difference in the gender ratio of ATPD.