精神科门诊患者SCL-90分析  

Analysis on SCL-90 of psychiatric outpatients

作　　者：王维勇[1] 熊辉[1] 

机构地区：[1]四川省攀枝花市第三人民医院,617061

出　　处：《检验医学与临床》2010年第23期2596-2598,2601,共4页Laboratory Medicine and Clinic

摘　　要：目的探讨分析精神科门诊患者的症状自评量表（SCL-90）的特征。方法对90例首次到精神科门诊就诊的患者SCL-90,用SPSS11.5统计,比较分析其临床特点。结果 90例门诊患者中以抑郁（占53.33%）、躯体化（占52.22%）、焦虑（占51.11%）,失眠（占77.78%）症状最为突出。人际关系差的患者各种精神症状更为突出（P〈0.01）。35~45岁年龄阶段人群较多（占32.22%）,在这年龄阶段女性症状比男性更为明显（总均分P〈0.05）,突出表现为躯体化（P〈0.01）、抑郁（P〈0.05）、敌对（P〈0.05）,精神病（P〈0.05）。45岁以上的患者总体症状比45岁以下年龄组轻（总均分P〈0.05）。饮食及睡眠情况在25~35岁年龄阶段表现更为突出（P〈0.05）。焦虑（P〈0.05）、抑郁（P〈0.05）、强迫（P〈0.01）在25岁以下年龄组表现突出。小学文化程度患者所占的比例偏大（占31.11%）。除敌对在高中文化患者表现更为明显（P〈0.05）外,其他症状在文化程度不同的患者中无明显差异（P〉0.05）。结论在精神科门诊更应关注处理抑郁、躯体化、焦虑,失眠症状。加强对35~45岁年龄阶段患者,特别是对女性患者的关注。引导患者处理好人际关系对患者的治疗也是不容忽视的。Objective To investigate and anslyze the characteristics of SCL-90 of psychiatric outpatients.Methods 90 patients first visiting psychiatric clinic were statistically analyzed on SCL-90 using SPSS11.5 software and their clinical features were compared.Results In the 90 outpatients,the most prominent symptoms were depression（accounting for 53.33%）,somatization（accounting for 52.22%）,anxiety（accounting for 51.11%）,insomnia（77.78%）.The various symptoms in the patients with the poorest interpersonal relation appeared more prominent（P0.01）.The patients aged 35-45 years were more（32.22%）,and in this group,the symptoms of women were more obvious than those of men（average total P0.05）.The distinct manifestations were somatization（P0.01）,depression（P 0.05）,hostility（P0.05）,mental（P0.05）.The general symptoms of the patients over 45 years were slighter than those below 45 years（average total P0.05）.And diet and sleeping problems were more prominent in the group of 25-35 years（P0.05）.But in the group of below 25 years,their symptoms,like anxiety（P0.05）,depression（P0.05） and forced（P0.01） were obvious.The patients with primary school education caused the high percentage（accounting for 31.11%）.In addition,the performance of hostile of the patients with high school education was more obvious（P0.05）,and other symptoms of the patients with different education levels had no significant differences（P0.05）.Conclusion In psychiatric outpatient department,more attention should be focused on the treatment of depression,anxiety and insomnia.We also should pay more attention to the patients of 35-45 years,especially the female patients.Meanwhile,guiding the patients to handle their interpersonal relationships is also indispensable.

关 键 词：精神科门诊 SCL-90 临床特点 

分 类 号：R749.05[医药卫生—神经病学与精神病学]