长春市宽城区兴业社区重性精神病病例疾病信息分析

Analysis of the disease information of severe psychiatric cases in Xingye Community,Kuangcheng District,Changchun City

目的:探讨长春市宽城区兴业社区重性精神病病例的疾病信息,为及时有效实施重性精神疾病监护和干预,减少肇事的发生提供基础资料。方法:资料来源于"686"项目,采用EXCEL提取重性精神疾病信息管理系统中的患者的疾病信息数据,运用SPSS 19.0统计学软件对数据进行统计分析。结果:168例重性精神疾病病例中,精神分裂症122例(72.6%);二系三代精神病家族史阴性157例(93.5%),阳性11例(6.5%);患者与监护人关系为夫妻42例(25%),父母子女兄弟姐妹等直系血亲118例(70.2%);患者初次发病时间,2000-2009年组40例(23.8%);使用抗精神病药物治疗111例(66.1%);患者首次使用抗精神病药物治疗时间,2000-2009年组32例,占使用抗精神病药物治疗病例总数的28.8%。结论:以精神分裂症患者为主,二系三代有明确精神病家族史病例为少数,患者能得到家庭监护与照顾,多数患者病程较长,使用抗精神病药物治疗的人数仍不足,多数患者服药时间较长。

Objective:To explore the disease information of severe psychiatric cases in Xingye Community,Kuangcheng District,Changchun City,for the timely and effective implementation of the monitoring and intervention of severe mental illness,to provide basic information for reducing the accident occurrence.Methods:The data were from the '686' project.The patient's disease information data were extracted from severe psychiatric information management system by using EXCEL.The data were statistic analyzed by using SPSS 19.0 statistical software.Results: In 168 cases with severe mental illness: 122 cases were schizophrenia(72.6%).157 cases(93.5%) were two of three generations of family history of mental illness negative, positive for 11 cases(6.5%).Patients with guardian relationship is husband and wife in42 cases(25%), parents and children brothers and sisters and other direct lineal in 118 cases(70.2%).From 2000 to 2009,40 cases(23.8%) were with first onset time.111 cases(66.1%) used antipsychotic drug treatment.32 cases used antipsychotic medication time for the first time from 2000 to 2009, accounting for28.8% of the total cases of the use of antipsychotic medication.Conclusion:The patients with schizophrenia is major,and the cases that two of three generations have a clear family history of mental illness are the minority.Patients can receive family guardianship and care.The majority of patients have longer duration.The number of antipsychotic treatment is still insufficient.The majority of the patients have longer taking medicine time.