随州经济开发区重性精神疾病流行病学调查分析  

Epidemiological Analysis of Severe Mental Illness in Suizhou Economic Development District

作　　者：舒传波 沈春安[2] 胡傲容[2] 耿东亮[2] 

机构地区：[1]湖北省随州经济开发区医院,湖北随州441326 [2]随州市疾病预防控制中心

出　　处：《实用预防医学》2013年第3期305-307,共3页Practical Preventive Medicine

摘　　要：目的了解重性精神疾病流行病学现况,为综合防控提供依据。方法对全区15岁以上人口119 359人进行筛查,逐一线索调查、执业机构专家诊断,诊断标准按《中国精神障碍分类与诊断标准-3》(CCMD-3)。危险性等级评估按《重性精神疾病管理治疗工作规范》,采用EXCEL软件进行统计分析。结果全区查出重性精神疾病患者516例,患病率为4.32‰,其中397例为既往曾接受过门诊或住院治疗,占患者总数的76.94%,规范服药42例,占治疗人数的10.58%;119例为此次确诊,未接受过任何治疗措施,占总病例数的23.06%;男性234例,患病率为3.83‰,女性282例,患病率为4.84‰,女性患病率高于男性(χ2=7.15,P<0.01);疾病分类中精神分裂症占89.34%,发育迟滞致精神障碍占4.26%、躁狂症占2.91%;发病年龄集中在20～40岁之间,占病例总数的73.45%。危险分级3级以上者占总病例数的17.25%。结论随州经济开发区重性精神疾病患病情况不容乐观,要加强对患者进行规范管理和对患者家属健康教育,以减少患者复发和肇事肇祸事件发生。Objective To investigate the current epidemiological status of severe mental illness（SMI） in Suizhou Economic Development District,and to provide a basis for its comprehensive prevention and control.Methods A total of 119,359 residents aged 15 years and over in the district were screened and investigated.Each clue was surveyed one by one.All the patients were diagnosed by the experts according to Chinese Classification and Diagnostic Criteria of Mental Disorders-3（CCMD-3） and the risk level was evaluated according to Severe Mental Illness Management Job Specification.Results A total of 516 patients with severe mental illness were found in the District,with the prevalence rate of 4.32‰.397 of 516 patients were previously treated outpatients or inpatients,accounting for 76.94% of the total patients.Only 42 patients accepted regular medication,accounting for 10.58% of the treated patients.23.06%（119/516） patients were newly confirmed and they did not receive any treatment.The incidence rate for males（3.83‰,234/516） was lower than that in females（4.84‰,282/516）,（χ2=7.15,P0.01）.According to the classification of SMI,the patients suffering from schizophrenia,mental retardation complicated by mental disorder,and mania accounted for 89.34%,4.26% and 2.91%,respectively.73.45% patients ranged in age from 20 to 40 years.The patients with the risk grading 3 or above accounted for 17.25% of all cases.Conclusions The status of SMI prevalence in Suizhou Economic Development District is not optimistic.It is necessary to reinforce the standardized management for the patients and conduct health education among their relatives so as to reduce the recurrence and troublemaking events.

关 键 词：重性精神疾病 流行病学现况 随州 

分 类 号：R749[医药卫生—神经病学与精神病学]