住院精神病患者的诊断及躯体疾病调查

Diagnoses and investigations of somatopathy for in - patients with psychosis

目的 了解目前我院住院精神病患者疾病诊断及相关问题。方法以2002年4月20日为时点调查日,对所有住院精神病患者(共1082例)的病史进行均数和发生率统计分析。结果 住院患者中精神科疾病诊断排在前5位的是:精神分裂症(75.8％),阿尔采末氏病(6.1％),脑血管病所致精神障碍(4.8％),心境障碍(4.7％),癫痫所致精神障碍(2.7％)。合并躯体疾病发生率前5位的是:心脏病(65.6％),高血脂(48.0％),糖尿病(21.7％),肝炎、肝硬化(16.0％),高血压(14.3％)。结论随着社会大环境的变化,住院精神病患者疾病谱发生了变化,老年患者越来越多,合并躯体疾病的发生率也日益增多。

Objective To understand the diagnoses of in - patients with psychosis and relative problems at present in our hospital. Methods At the time - point of April 20,2002, histories of all 1082 in - patients were investigated to statistically analyze the mean and incidence. Results The first five diagnoses were schizophrenia (75.8%), Alzheimer s disease (6.1%), mental disorders due to cerebrovascular disease (4.8%) , mood disorders (4.7%) and mental disorders due to epilepsy (2.7% ) , and the first five diagnoses of accompanying somatopathy were heart disease (65.6% ) , hyper-lipemia(48.0%),diabetes mellitus(21.7%) .hepatitis or cirrhosis(16.0%) and hypertension(14.3%). Conclusion With the changes of social environment, the disease pedigree of in - patients with psychosis changes, senile patients become more and more, and the incidence of concurrent somatopathy gradually increase.