2015年大理州宾川县重性精神病患病状况调查  

Surveys of sickness status of severe mental illness in Bingchuan county, Dali prefecture in 2015

作　　者：马红霞[1] 童碧怀[1] 刘成立[1] 

机构地区：[1]大理州第二人民医院,云南大理671003

出　　处：《临床心身疾病杂志》2016年第1期101-102,共2页Journal of Clinical Psychosomatic Diseases

摘　　要：目的了解2015年大理州宾川县重性精神病的患病状况。方法由大理州精神病医院专家组对528例疑似精神病患者进行筛查，根据总体危险度指标评定患者的总体危险度，根据肇事肇祸危险度指标评定患者的肇事肇祸危险度，依据危险度评定结果对患者进行分级管理。结果本组528例疑似精神病患者中筛查前已确诊重性精神病40例（7．6％），本次筛查确诊重性精神病290例（54．9％），排除46例（8．7％），未接受筛查152例（28．8％）。确诊重性精神病患者中总体危险度≥3级占27．3％，≥4级占7．3％；肇事肇祸危险度≥3级占17．3％，≥4级占4．9％；患者分级管理1级69．4％、2级19．4％、3级4．6％、4级6．7％。结论宾川县重性精神病患者总体危险度及肇事肇祸危险度高，政府应从多方面人手改善这一状况。Objective To investigate the sickness status of severe mental illness in Bingchuan county, Dali prefecture in 2015. Methods Screenings were conducted by experts of Dali Prefecture Mental Hospital in 528 suspected mental patients, patients＇ total risks assessed according to total risk indexes, trouble-mak- ing risks according to trouble-making risk indexes, and patients were hierarchically managed according to risk evaluation results. Results Of 528 suspected mental patients 40 ones were diagnosed as severe men- tal illness before screening （7.6%）, 290 ones in this screening （54.9%）, 46 ones excluded （8.7%）, and 152 ones didn＇t accept screening （28.8%）. Total risk ≥ 3 made up 27.3% of diagnosed severe mental pa- tients and ≥ 4 did 7.3% trouble-making risk ≥ 3 made up 17.3% and ≥ 4 did 4.9%; 69.4% of the pa- tients received grade 1, 19.4% did 2, 4.6 % did 3, and 6.7% did 4. Conclusion Total and trouble-mak- ing risk are high in severe mental patients in Bingchuan county and this phenomenon should be improved by government from various aspects.

关 键 词：重性精神病 总体危险度 肇事肇祸危险度 

分 类 号：R749[医药卫生—神经病学与精神病学]