2009~2018年广西某三级精神专科医院心理科开放式病房住院患者病种变化情况分析  

Analysis on the changes of diseases of inpatients in the open ward of the psychology department of a tertiary psychiatric hospital in Guangxi from 2009 to 2018

作　　者：黄淑津 张玲 朱晓茜 罗隽 韦眉 韦静娴 HUANG Shu-jin;ZHANG Ling;ZHU Xiao-xi(Department of Psychology, Nanning Fifth People′s Hospital, Guangxi 530001, China)

机构地区：[1]南宁市第五人民医院心理科,广西530001 [2]广西医科大学公共卫生学院,南宁530021

出　　处：《中国临床新医学》2020年第7期691-695,共5页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：南宁市医学特色专科建设项目(编号:南卫[2017]11号)。

摘　　要：目的通过分析2009~2018年广西某三级精神专科医院心理科开放式病房住院患者病种构成及变化情况,为今后心理科疾病防治及发展规划提供数据支持。方法收集该院心理科2009~2018年精神障碍住院患者8478例病案资料,回顾性分析不同病种的变化趋势。结果2009~2018年间精神障碍住院患者以4~40岁年龄段为主。精神分裂症、强迫性障碍的男性患者人数多于女性,而其他焦虑障碍、抑郁发作、躯体化障碍、双相情感障碍、非器质性睡眠障碍、脑损害和功能紊乱以及躯体疾病所致的其他精神障碍和严重应激反应及适应障碍的女性患者人数多于男性,差异均有统计学意义(P<0.05)。精神分裂症住院患者数量自2014年起增速变缓,2018年明显下降;而焦虑障碍、抑郁发作、双相情感障碍、非器质性睡眠障碍患者构成比总体呈上升趋势。结论未成年及中青年是心理科疾病防治的重点人群。焦虑障碍、抑郁发作、非器质性睡眠障碍是心理科疾病防治的重点病种。Objective To analyze the disease composition and changes of inpatients in the open ward of the psychology department of a tertiary psychiatric hospital in Guangxi from 2009 to 2018 for providing data support for the prevention,treatment and development planning of psychiatric diseases in the future.Methods The data of medical records of 8478 inpatients with mental disorders in the Department of Psychology,Nanning Fifth People′s Hospital from 2009 to 2018 were collected,and the change trend of different diseases was retrospectively analyzed.ResultsFrom 2009 to 2018,the majority of the inpatients with mental disorders were 4~40 years old.The number of male patients with schizophrenia and obsessive-compulsive disorder was more than that of female patients,while the number of female patients with other anxiety disorders,depressive episodes,somatization disorders,bipolar disorder,non-organic sleep disorders,brain damage and functional disorders,and other mental disorders and severe stress response and adaptation disorders caused by physical diseases was more than that of male patients,and the differences were statistically significant(P<0.05).The growing number of the inpatients with schizophrenia had slowed down since 2014,and the number of the schizophrenia inpatients decreased significantly in 2018.The proportion of the patients with anxiety disorder,depressive episodes,bipolar disorder and non-organic sleep disorders had an overall upward trend.Conclusion Minors and young and middle-aged people are the high-risk population in the prevention and treatment of psychological diseases.Anxiety disorder,depressive episodes and non-organic sleep disorders are the key diseases in the prevention and treatment of psychological diseases.

关 键 词：病种构成 精神障碍 心理科 开放式病房 

分 类 号：R749[医药卫生—神经病学与精神病学]