312例儿童住院患者精神科会诊临床资料分析  

Analysis of psychiatric liaison-consultation data of 312 pediatric inpatients

作　　者：王芳[1] 张纪水[1] 闻芳[1] 王爱华[1] Wang Fang;Zhang Jishui;Wen Fang;Wang Aihua(Department of Psychiatry,Beijing Children＇s Hospital,Capital Medical University,National Center for Children＇ s Health,Beijing 100045,China)

机构地区：[1]首都医科大学附属北京儿童医院精神科国家儿童医学中心,100045

出　　处：《北京医学》2018年第7期668-670,共3页Beijing Medical Journal

摘　　要：目的了解儿童专科医院精神科会诊分布情况,总结儿童精神科会诊特点。方法收集2016年10月至2017年10月首都医科大学附属北京儿童医院精神科会诊患儿312例,对其人口学资料、会诊原因、精神科诊断和处理等进行分析。结果消化科(54.5%)、神经内科(24.7%)是提出精神科会诊较多的科室。邀请会诊最常见的原因是各种躯体主诉(如相关辅助检查难以完全解释症状),占所有会诊的69.2%;精神科诊断包括特发于童年的情绪障碍(53.4%)、躯体形式障碍(17.6%)等。精神科主要处理意见为建议为患儿提供心理支持(90.4%),其余9.6%需对症药物治疗。结论儿童精神科会诊涉及各个科室,最常见的会诊原因为儿童情绪障碍,儿童精神科应加强与各科的合作,为儿童提供更好的精神卫生服务。Objective To explore clinical distribution of psychiatric liaison-consultation in children＇s hospital, and summarize its characteristics. Methods Form October 2016 to October 2017, there were 312 cases of psychiatric consultation. The demographic characteristic, referral department, reason for consultation, psychiatric diagnosis and treatment were analyzed. Results The referral from Department of Gastroenterology（54.5%） and Department of Neurology（24.7%） accounted for most of cases. The most common reason for consultation was medically unexplained symptom（69.2%）. The psychiatric diagnoses included emotional disorders with onset specific to childhood（53.4%）, somatoform disorders（17.6%）. 90.4% cases were recommended for psychological support. Conclusion Almost all departments in children hospital need psychiatric consultation, and emotional disorders was the most common reason for consultation.Psychiatry department should reinforce cooperation with other departments.

关 键 词：精神科联络会诊 情绪障碍 儿童 

分 类 号：R749[医药卫生—神经病学与精神病学]