2200例重性精神疾病患者出院信息分析  

Analyses of discharged information of 2200 patients with major psychosis

作　　者：范萌[1] 傅可月 FAN Meng FU Ke -yue(Beijing Anding Hospital, Capital Medical University, Beijing 100088, China)

机构地区：[1]首都医科大学附属北京安定医院,北京100088

出　　处：《四川精神卫生》2016年第5期442-445,共4页Sichuan Mental Health

摘　　要：目的分析六类重性精神疾病患者及有两害行为的其他精神疾病患者的出院信息特征,为社区防治提供参考. 方法选择2015年3月-8月在首都医科大学附属北京安定医院出院的所有符合《国际疾病分类（第10版） 》 （ ICD - 10）精 神障碍诊断标准的六类重性精神疾病患者及有两害行为的其他精神障碍患者,对患者出院时医生填写的严重精神障碍患者 出院信息单进行分析.结果①该院出院的重性精神疾病患者以双相情感障碍和精神分裂症为主,分别占47. 55%、43.00%.②存在两害行为的重性精神疾病患者占52.73% ,两害行为发生率男性高于女性（P〈0.01）.③精神分裂症和双相 情感障碍患者平均住院时间差异有统计学意义（Z =9. 907,P〈0.01）.精神分裂症和双相情感障碍患者起病年龄在14 -25岁的 分别占57.19%、52.77% ,住院次数≥2次的分别占67. 55%、64.25% ,病程≥5年的分别占64. 38%、60. 33%.结论①双相 情感障碍和精神分裂症是重性精神疾病防治的重点.②双相情感障碍和精神分裂症患者起病年龄早,住院次数多,病程长,两害行为发生比例高.Objective To analyse the discharged information in patients with major psychosis and other mental disorders with violent behavior,and to provide basis for community mental health development. Methods 2200 patients with major psychosis and violent behavior in Beijing Anding Hospital were analyzed with discharged information card of major psychosis during March to August in 2015. Results Bipolar disorder and schizophrenia patients were in the majority in outpatients with major psychosis in Beijing Anding Hospital, the rates were 47. 55% and 43. 00% , respectively. Patients with aggressive and violent behavior was 52. 73% , the ratio of men with aggressive and violent behavior was higher than that of women （P 〈 0 . 0 1 ） . There was significant difference between schizophrenia and bipolar disorder in length of stay（ Z = 9. 9 0 7 , P 〈 0. 0 1 ） . First episode age in 14 to 25 inpatients with schizophrenia and bipolar disorder were 57. 19% and 52. 11% , respectively. Hospitalization time more than twice in schizophrenia and bipolar disorder were 67. 55% and 64.25% , respectively. Course of disease more than 5 years in schizophrenia and bipolar disorder were 64. 38% and 60. 33% , respectively. Conclusion Bipolar disorder and schizophrenia are the emphases on the prevention of major psychosis. Patients with bipolar disorder and schizophrenia are early age of onset, more frequency of hospitalization, long course of disease and higher violent behavior. So there is a great deal of work to do to manage and treat major psychosis.

关 键 词：重性精神疾病 攻击行为 出院信息 社区康复 

分 类 号：R749[医药卫生—神经病学与精神病学]