2013年黎平县重性精神疾病的流行病学调查分析  

An epidemiological survey on mental disorders in Liping County in 2013

作　　者：杨继宝 曾晓华 

机构地区：[1]黎平县疾病预防控制中心,贵州黎平557300

出　　处：《现代预防医学》2015年第1期8-10,共3页Modern Preventive Medicine

基　　金：2012年度中央补助地方重性精神疾病管理项目(2013-2-24)

摘　　要：目的分析2013年黎平县重性精神疾病的流行特征，为预防控制重性精神疾病提供科学依据。方法由乡、村、社区卫生医疗机构医生进行线索逐一登记上报，县疾病预防控制机构配合州级精神卫生专科医生逐个诊断排查。重性精神病的分类、诊断按照世界卫生组织孀神与行为障碍分类临床描述与诊断要点》（ICD-10）的判断标准执行，患者资料采用描述性流行病学方法进行分析。结果黎平县现症重性精神疾病患者共计1002例，患病率为1．90％o。其中：精神分裂症779例、精神发育迟滞（伴发精神障碍）160例、双相（情感）障碍25例、分裂性情感障碍20例、癫痫所致精神障碍15例、偏执性精神病3例，分别占发病总数77．74％、15．95％、2．50％、2．00％、1．50％和0．30％。职业以农民为主，占92．31％。年龄在18。59岁之间，占78．84％，男性多于女性，男女之比为1．8：1。初中以下文化程度占92．72％，居家治疗或社会治疗占94．91％。结论精神分裂症、精神发育迟滞是黎平县重性精神疾病的防控重点，需要加大人力、财力投入和开展有效合理治疗及持续的健康心理干预，普及大众心理卫生知识，才能最大限度地减少精神疾病患者的发生。Objective To analyze mental illnesses in Liping County in 2013 and provide a scientific basis for the prevention and control of severe mental illness. Methods The cases were reported by township and village doctors, community health agencies, and severe cases were diagnosed by county disease prevention and control institutions combined with state mental health specialists, in accordance with World Health Organization classification of mental and behavioral disorders clinical description and diagnosis （ICD-10）. Descriptive epidemiological methods were used for analysis. Results There were 1002 patients of serious mental illness in Liping County, with the prevalence rate of 1.90%~. The 1002 patients consisted of 779 schizophrenia cases, 160 mental retardation （associated with mental disorders） cases, 25 bipolar disorder, 20 split sexy cases, 15 epilepsy cases and 3 paranoid psychosis cases, with proportions of 15.95%, 77.74%, 2.50%, 2.00%, 1.50% and 0.30%, respectively. Peasants were predominant occupations, accounting for 92.31%. Cases with age of 18-59 took up 78.84%, and the ratio of males to females was 1.8： 1. Junior high school education or below accounted for 92.72%, and using family/social therapy took up 94.91%. Conclusion Schizophrenia and mental retardation are the focus of the prevention of mental illness in Liping County, and we need to increase investment in human and financial resources and carry out effective and reasonable treatment and prolong mental health intervention, ultimately to minimize the number of people with mental illness.

关 键 词：精神疾病 流行病学特征 调查 

分 类 号：R181.3[医药卫生—流行病学]