河北省建档重性精神疾病患者城乡对比研究  

Comparison between Urban and Rural Patients with Severe Mental Illness Having Health Files in Hebei

作　　者：杨淑恩[1] 刘波 田梅[1] 张勇[1] 李佳勋[1] 

机构地区：[1]河北省精神卫生中心,河北省保定市071000 [2]河北省卫生和计划生育委员会

出　　处：《中国全科医学》2015年第8期915-918,共4页Chinese General Practice

摘　　要：目的分析河北省建档重性精神疾病患者的城乡差异,为进一步做好河北省重性精神疾病管理治疗工作提供科学依据。方法选取河北省2011-08-04—2013-10-31录入"国家重性精神疾病基本数据收集分析系统"(简称"系统")的重性精神疾病患者173 399例,统计患者建档率及人口学特征,并进行城乡比较。结果河北省重性精神疾病建档患者173 399例,患者建档率为2.40‰。建档率居首位的是精神分裂症(1.74‰),居末位的是偏执性精神病(0.01‰)。农村重性精神疾病建档患者147 171例,患者建档率为2.48‰;城市重性精神疾病建档患者26 228例,患者建档率为2.06‰。农村重性精神疾病患者建档率高于城市(χ2=743.481,P<0.001)。在重性精神疾病6种分类中,农村精神发育迟滞患者建档率低于城市(χ2=123.843,P<0.001),其余5种重性精神疾病患者建档率均为农村高于城市(χ2=841.310、60.194、134.060、74.638、48.084,P<0.001)。城市和农村重性精神疾病患者性别、年龄、受教育程度、民族、婚姻、职业、经济状况比较,差异均有统计学意义(P<0.001)。结论河北省重性精神疾病患者建档率低,且城市低于农村;农村建档重性精神疾病患者贫困率高于城市、受教育程度低于城市。Objective To analysis the difference between urban and rural patients with severe mental illness（ SMI）having health files in Hebei,to provide a scientific base for management and treatment of SMI patients. Methods The basic information of 173 399 SMI patients from ＂ the National SMI Basic Data Collection and Analysis System＂ typed- in from August4,2011 to October 31,2013 were enrolled in this study. The patients＇ filing rate,the demographic characteristics and the urban- rural difference was analyzed compared. Results A total of 173 399 SMI patients had health files,with a filing rate of2. 40‰. Schizophrenia topped the list（ 1. 74‰）,paranoid psychosis ranked the last（ 0. 01‰）. There were 147 171 SMI patients who had health files in rural areas（ 2. 48‰）,26 228 in urban areas（ 2. 06‰）,higher in rural areas than in urban areas（ χ2= 743. 481,P 0. 001）. In 6 categories of SMI,the filing rate of mental retardation was lower in rural areas than in urban areas（ χ2= 123. 843, P 0. 001）, and that of the other 5 categories higher（ χ2= 841. 310,60. 194,134. 060,74. 638,48. 084,P 0. 001）. There was significant difference in gender,age,educational level,ethnicity,marital status,occupation,economic stats between urban and rural SMI patients（ P 0. 001）. Conclusion The filing rate of SMI patients with health files is low in Hebei,lower in urban areas than in rural areas. The poverty rate of is higher,educational level lower in rural SMI patients than in urban.

关 键 词：重性精神疾病 建档率 城乡 河北 

分 类 号：R749[医药卫生—神经病学与精神病学]