综合性医院精神科联络会诊的临床特点——附280例报告  

Clinical characteristics of consultation-liaison psychiatry in general hospital

作　　者：唐秀梅[1] 钟智勇[1] 程敏锋[1] 韩自力[1] 

机构地区：[1]中山大学附属第三医院精神科,广州510630

出　　处：《新医学》2013年第7期485-487,共3页Journal of New Medicine

摘　　要：目的探讨综合医院精神科联络会诊的临床特点。方法收集精神科会诊280例患者的资料,分析申请会诊涉及的会诊科室、症状特点、性别及年龄段症状的特点。结果综合医院申请精神科会诊的科室中以内科系统最多,占50.7%,其次是外科24.3%,急诊科23.2%;申请会诊的原因中出现情感症状及行为紊乱的比例较高,分别是27.1%及27.9%;在症状特点方面,中年组患者情感及躯体症状出现的比例(分别为32.7%和28.8%)均较其他年龄组高,幻觉、妄想则在青年及少年组患者中所占比例较高(分别为13.7%及15.2%);女性的躯体症状比例较高(26.7%)。结论综合医院申请精神科联络会诊的患者的精神症状特点与性别、年龄段有一定相关性。Objective To investigate the clinical characteristics of consultation-liaison psychiatry （CLP） in general hospitals. Methods A total of 280 consecutive inpatients referred to the CLP service at the Third Affiliated Hospital of Sun Yat-sen University during a one-year period were enrolled. The clinical charac-teristics were analyzed including sociodemographic profile, reasons for referral and psychiatric symptoms. Re-sults Internal medicine department took the most part of application of psychological consultation in general hospitals, accounting for 50. 7%, followed by surgery （24. 3% ） and emergency （23.2%）. The most common reasons for referral to CLP service were affective symptoms （27. 1% ） and behavior disorders （27. 9% ）. Emo-tional and somatic symptoms seemed to be more frequent （32. 7% and 28. 8% , respectively） in middle aged patients than any other age group. Hallucinations and delusions were diagnosed in 13. 7% of youth group, while in 15.2% of juvenile group. Somatic symptoms in female accounted for higher proportion （26. 7% ）. Conclusion In this study, we showed the clinical characteristics of CLP services in general hospitals.

关 键 词：综合医院 精神科联络会诊 会诊联络精神病学 

分 类 号：R749[医药卫生—神经病学与精神病学]