老年神经症与躯体疾病的共病研究  

A Study on Comorbidity of Elderly Neuroses and Somatic Disease

作　　者：袁伟君[1] 周天骍[1] 丛志军[1] 王纪明 裘志行 

机构地区：[1]上海市虹口区精神卫生中心,上海虹口200083 [2]上海市乍浦地段医院

出　　处：《中国民康医学》2005年第6期275-277,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:了解社区老年神经症患者与躯体疾病的共病关系。方法: 采用随机抽样163例社区老年神经症患者以及用性别、年龄配对的163例老年人调查他们躯体疾病的发生情况。结果: 老年神经症与躯体疾病共病率为91. 41%。神经症组患一种躯体疾病与对照组无显著差异,而患两种及以上的躯体疾病神经症组明显高于对照组。在躯体疾病中,高血压、冠心病、慢阻肺、中风、肿瘤等神经症组高于对照组。结论: 老年神经症可能与躯体疾病共病。多种慢性躯体疾病可视为为诱发神经症的高危因素。在开展老年神经症干预时,应重视对慢性躯体疾病的防治。Objective:To study the comorbidity of elderly neuroses and somatic disease. Methods: The 163 elderly with neurosis selected by random sample and other 163 elderly matched by sex and age with them were researched about the situation of somatic disease. Results: The comorbidity rate of elderly neuroses and somatic disease is 91.41%, The rate of having one kind of somatic disease is equal between the two groups. The rate of having two and more kinds of somatic disease in neurosis group is higher than in the control group. Conclusions: Elderly neuroses and somatic disease may be comorbidity. Some somatic diseases are high dangerous factors to elderly neurosis. The prevention and treatment for somatic disease should be regarded in the intervention to elderly neuroses.

关 键 词：老年人 神经症 躯体疾病 共病率 

分 类 号：R749.92[医药卫生—神经病学与精神病学]