造血干细胞移植患者隔离期间精神科联络会诊分析  

Analysis of psychiatric consultation during isolation of patients with hematopoietic stem cell transplantation

作　　者：刁向媛 张会然 王雪梅[1] 徐英[1] 王耀龙[1] 赵海圆 陈文[1] 兰光华[1] DIAO Xiang-yuan;ZHANG Hui-ran;FANG Xue-mei;XU Ying;FANG Yao-long;ZHAO Hai-yuan;CHEN Fen;LAN Guang-hua(Deptment of Clinical Psycholog, the First Affiliated Hospital of Soochow University, Suzhou 215006, China)

机构地区：[1]苏州大学附属第一医院精神医学科,215006

出　　处：《临床精神医学杂志》2018年第2期122-124,共3页Journal of Clinical Psychiatry

摘　　要：目的:探讨行造血干细胞移植患者隔离期间精神科联络会诊特点。方法:回顾性分析2014年至2016年行造血干细胞移植且在隔离期间并发精神障碍邀请精神科会诊的111例患者的一般资料及临床资料。结果:共有1 523例患者(男839例,女684例)行造血干细胞移植,111患者(7.3%)入住净化舱隔离期间并发精神障碍而邀请精神科会诊;女性患者并发精神障碍的比率(9.1%,62例,)明显多于男性(5.8%,49例)(χ~2=5.796,P<0.05);2014年至2016年精神科每年会诊率(6.2%、6.6%及8.6%)比较差异无统计学意义;精神科会诊诊断依次为焦虑状态31例(30.0%)、抑郁状态29例(26.1%)、应激相关障碍14例(12.6%)、躯体疾病所致精神障碍13例(11.7%)、睡眠障碍9例(8.1%)、焦虑及抑郁状态9例(8.1%)、药物所致精神障碍2例(1.8%)、其他4例(3.6%);其中82例(73.9%)建议给予药物治疗或药物联合心理治疗。结论:造血干细胞移植隔离期间患者、尤其是女性患者并发各种精神障碍的比率很高,多半为情绪障碍。Objective： To investigate the characteristics of psychiatric consultation during isolation of patients undergoing hematopoietic stem cell transplantation. Method： General information and clinical data of 111 patients who underwent hematopoietic stem cell transplantation and psychiatric consultation during the period of isolation during 2014 ~ 2016 were retrospectively analyzed. Results： A total of 1523 patients（ 839 males and 684 females） underwent hematopoietic stem cell transplantation. 111 patients（ 7. 3% ） were enrolled in the psychiatric consultation during the isolation period of purifying cabin. The rates of psychiatric consultation（ 9. 1% ,62 cases） were significantly higher in female than those of male patients（ 5. 8% ,49 cases）（ χ~2=5. 796,P 0. 05）. The year psychiatric consultation rate showed no significant difference from 2014 to 2016（ 6. 2% ,6. 6% ,8. 6% ）. Among the first diagnosis were anxiety state（ 31 cases30. 0% ）,depression（ 29 cases,26. 1% ）,stress-related disorders（ 14 cases,12. 6% ）,mental disorders caused by physical diseases（ 13 cases,11. 7% ）,sleep disorder（ 9 cases,8. 1% ）,anxiety and depression state（ 9 cases,8. 1% ）,mental disorder due to drugs（ 2 cases,1. 8% ）,and the other（ 4 cases,3. 6% ）; 82 cases（ 73. 9% ） were proposed to give medical treatment or medication and psychological inntervention. Conclusion： Patients with hematopoietic stem cell transplantation,especially women,have a high rate of various mental disorders,most of whom are mood disorders.

关 键 词：联络会诊精神病学 造血干细胞移植 精神障碍 

分 类 号：R749[医药卫生—神经病学与精神病学]