不同入院方式的住院流浪精神病患者临床对照分析  

Controlled analysis of the clinical feature of wandering mental disorder with different form of hospitalization

作　　者：邱友胜[1] 段卫东[1] 韩佳凤[1] 范连养[1] 张春玲[1] 秦性好[1] 高欢[1] 方亚明[1] 

机构地区：[1]广东省深圳市康宁医院,广东深圳518020

出　　处：《中国民康医学》2008年第17期1955-1956,1958,共3页Medical Journal of Chinese People’s Health

基　　金：深圳市科技局立项:"深圳市住院流浪精神病人现状调查研究"(2005148)

摘　　要：目的:探讨不同入院方式的住院流浪精神病患者临床特征的差异。方法:将228例住院流浪精神病患者按入院方式的不同分为二组:公安系统110组和卫生系统120组,用自编《住院流浪精神病人一般情况调查表》进行回顾性调查统计及分析。结果:公安110组精神病复发者多见,占38%(P<0.01);卫生120组伴发各种严重躯体疾病者较多(P<0.05);公安组以骂人高歌乱舞等阳性症状为主,卫生组则以少语少动等阴性症状为主(P<0.01);医疗费用方面公安110组精神病院亏损更明显,达70%(P<0.01)。结论:不同入院方式的流浪精神病患者临床处理应有差别。流浪精神病患者医疗干预问题突出,建议精神卫生立法多部门协同解决。Objective： To explore the differences of clinical feature of wandering mental disorder according to their form of hos- pitalization. Methods：228 wandering mental disorder in - patients were divided into two groups according to their form of hospitalization： the public security 110 system group and the hygiene 120 system group, Using self - edit 〈 general condition survey inventory of wandering mental disorder in- patients 〉, we made retrospective statistics and analysis. Results： The public security 110 system group had more easier relapse, recurrence rates was 38% （P 〈 0.01 ） , the positive symptoms were major features, such as disorganized speech , call names and loudly sing or dance, The hygiene 120 system group had more severe general medical conditions （P 〈 0.05 ） ; The negative symptom was major features, such as less talk and movement, the payment of medical treatment expense were high and the mental hospitals apparently were in the red 70% （ P 〈 0.01 ）. Conclusions ： The wandering mental disorder patients according to their form of hospitalization should have different coping methods. The medical treatment and prevention of wandering mental disorder patients are serious problem, we suggest establishing the law of mental health and more departments cooperate with solving the problem.

关 键 词：流浪精神病患者 入院方式 临床对照 

分 类 号：R749[医药卫生—神经病学与精神病学]