神经内科门诊抑郁障碍患者的临床特点  

Clinical features of depressive disorder of outpatients in department of neurology

作　　者：王效敏[1] 唐登华 孙绪坤 

机构地区：[1]北京世纪坛医院神经精神科,100038 [2]北京精神卫生研究所

出　　处：《临床精神医学杂志》2010年第2期94-96,共3页Journal of Clinical Psychiatry

摘　　要：目的:了解神经内科门诊的抑郁障碍患者的临床特点。方法:采用流调用抑郁自评量表(CES-D)对神经内科门诊的全部初诊患者共654例进行筛查,再参照国际疾病分类第10版诊断为抑郁障碍患者78例,进行汉密尔顿抑郁量表(HAMD)评分。结果:神经内科门诊初诊患者抑郁障碍患病率为11.9%。抑郁障碍患者以头晕、头痛、失眠等躯体症状为第一主诉者占85.9%。在患者的前3个主诉中出现频率高的症状依次为失眠、头晕、乏力。样本HAMD总分平均(16.9±4.0)分,以轻中度抑郁为主。神经内科门诊抑郁障碍患者入睡困难、精神性焦虑、躯体性焦虑和全身症状较重。抑郁障碍患者中躯体归因模式者占76.9%;心理归因模式者占23.1%。结论:在神经内科门诊抑郁障碍患者颇多,应引起重视。Objective： To investigate the clinical features of depressive disorder among outpatients in department of neurology. Method：654 outpatients whose initial visit were in the department of neurology were screened using epidemiological survey-depression scale （CES-D）. Among them, 78 patients were diagnosed as depressive disorder according to the diagnostic criteria of international classification of diseases（ ICD-10 ）. And then, the depressive cases were evaluated by Hamilton depression scale（HAMD）. Results：Tbe prevalence of depressive disorder was l 1.9% among outpatients in department of neurology. 85.9% patients with depressive disorder presented first complaint on somatic symptoms such as dizziness, headache,insomnia, fatigue, et al. The total averaged score of HAMD was 16.9 ± 4.0. According to the score of each item of HAMD , the clinical symptoms of depressive disorder in neurological department dominate by difficulty in falling sleep, anxiety and physical symptoms. 76.92% depressive patients used physical attribution pattern, and only 23.08% used psychological attribution pattern. Conclusion：Much more attention should be paid to depressive disorder among outpatients in department of neurology.

关 键 词：神经内科 抑郁障碍 

分 类 号：R749.4[医药卫生—神经病学与精神病学]