不同年代首次住院心境障碍患者诊断谱系变化  

The lineage changes in diagnoses for patients with mood disorders in different decades

作　　者：李文飞[1] 王克永[1] 白伟[2] 曹小梅[2] 王瑞斌[2] 余家快[1] 

机构地区：[1]安徽省精神卫生防治中心,230022 [2]合肥市第四人民医院

出　　处：《神经疾病与精神卫生》2012年第3期254-256,共3页Journal of Neuroscience and Mental Health

摘　　要：目的探讨不同年代首次住院心境障碍患者诊断谱系的变化。方法整群抽取1989年1月1日～12月31日全部住院的77倒患者设为对照组（简称A组）。整群抽取1999年2月24日起始至1999年12月6日止及2009年2月13日起始至2009年4月25日止符合条件的全部患者各136例，分别设为研究组（简称B组和C组），三组患者均为我院首次住院心境障碍患者。统计三组患者的一般资料及诊断变化并进行对比分析。结果三组患者在就诊年龄、病程方面差异无统计学意义（P〉0．05），受教育年限及住院时间均显示A组与B组、C组之间均有显著性差异，但两研究组之间则无显著性差异。诊断变化：双相障碍，目前无精神病性症状的躁狂、抑郁发作、无精神病性症状的抑郁症及复发性抑郁症差异有统计学意义（P〈0．01），有精神病性症状的抑郁症、复发性抑郁症，目前为无精神病性症状的抑郁差异有统计学意义（P〈0．05）；余皆差异无统计学意义（P〉0．05）。结论首发心境障碍住院时间有明显缩短趋势，受教育年限在逐渐提高；不同年代心境障碍患者诊断变化显示躁狂发作减少，因抑郁及相关问题而接受住院的患者明显增加。首诊病程尚无变化，人们对心境障碍的认识仍然不足，对精神卫生知识的普及仍不乐观，人们对抑郁及相关问题的认识在逐渐提高。Objective To explore the different time of hospitalization for mood disorders in patients with a diagnosis of spectrum changes. Methods Cluster sampling from January 1st, 1989 to December 31st of 77 hospitalized patients were all set as control group （short for group A ）. Cluster sampiing all of the 136 cases beginning in February 13th, 1999 to December 6th and beginning in February 13th,2009 to April 25th respectively as research group（short for group B and group C）, three groups of patients are hospitalized for the first time in our hospital with mood disorder. Statistics of the three groups of patients general information and c.hange of diagnosis and make a comparative analysis. Results Three groups of patients in patients age and course of disease,there were no significant differences （P〈 0.05）, schooling and hospitalization time display the group A and group B and group C are significant differences ,but in the two research groups there were no significant differences. Diagnostic changes： there was a very significant difference in bipolar disorder, the manic without psychotic symp- toms, depressive episodes, depression without psychotic symptoms and recurrent depression （P 〈0.01）. There was a very significant difference in depression with psychotic symptoms,recurrent depression,the depression without psychotic symptoms （P〈 0.05）, other had no significant difference （P 〉 0.05）. Conclusions The first time hospitalization of patients with mood disorder had significantly shorter hospitalization time trend, years of education in increasing. Different age patients with mood disorder diagnosis showed changes of manic episodes reduced,due to the depression and related problems and accept hospitalization patients were significantly increased. There is no change in the first diagnosis course, people on the understanding of mood disorder is still insufficient, on the popularization of knowledge of mental health is not optimistic; people on the depression and related issues in increasin

关 键 词：情绪障碍 心境障碍 住院 诊断谱系 

分 类 号：R749.4[医药卫生—神经病学与精神病学]