2020年全国严重精神障碍患者管理治疗现状分析  

Management and services for psychosis in the People′s Republic of China in 2020

作　　者：张五芳[1] 马宁[1] 王勋[1] 吴霞民[1] 赵苗苗 陈润滋 管丽丽[1] 马弘[1] 于欣[2] 陆林[3] Zhang Wufang;Ma Ning;Wang Xun;Wu Xiamin;Zhao Miaomiao;Chen Runzi;Guan Lili;Ma Hong;Yu Xin;Lu Lin(Department of Public Mental Health,Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100191,China;Clinical Research Division,Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100191,China;Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100191,China)

机构地区：[1]北京大学第六医院公共卫生事业部,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学)国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100191 [2]北京大学第六医院临床精神病学研究室,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学)国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100191 [3]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学)国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100191

出　　处：《中华精神科杂志》2022年第2期122-128,共7页Chinese Journal of Psychiatry

基　　金：国家卫生健康委员会疾病预防控制局委托课题(无编号)。

摘　　要：目的分析2020年全国严重精神障碍患者管理治疗情况,并与近5年来的相关指标进行比较,为政府制定下一步精神卫生服务政策提供依据。方法采用描述性分析方法,对2011年8月1日国家严重精神障碍信息系统启用至2020年12月31日全国及各省(自治区、直辖市)国家信息系统使用情况以及患者登记、管理、治疗情况等进行分析。结果截至2020年底,全国100%的区县均使用信息系统。全国登记在册患者6430587例,报告患病率0.46%(6430587/1396537459);在管患者6116599例,管理率95.12%(6116599/6430587),规范管理患者5724019例,规范管理率89.01%(5724019/6430587);服药患者5648162例,服药率87.83%(5648162/6430587),规律服药患者4426498例,规律服药率68.84%(4426498/6430587);病情稳定患者5277746例,病情稳定率96.40%(5277746/5474881)。与2019年相比,在册患者增加200430例,管理率、规范管理率、服药率、规律服药率、病情稳定率分别增加0.88%、2.50%、3.75%、11.39%、1.15%。西部地区在册患者规律服药率显著低于东部和中部地区(F=6.317,P=0.005)。2020年登记的精神分裂症、偏执性精神病、分裂情感性精神病、双相情感障碍、癫痫所致精神障碍、精神发育迟滞伴发精神障碍患者未治期分别为2.69、3.28、1.68、1.92、4.70和9.89年,均明显短于2019年登记建档患者。结论2020年国家严重精神障碍信息系统登记患者人数持续增长,新登记患者未治期明显缩短,患者管理和服药水平有所提高。西部地区应针对当地精神卫生服务的薄弱环节制定适宜政策,以提高患者的治疗率。Objective To analyze the management and treatment of patients with psychosis in china in 2020 and compare with those in the past five years to provide a reference for making policy and service delivery.Methods Descriptive analysis was used to analyze the system usage and registration,management,and treatment situation of the patients with psychosis,using the data obtained from'National Information System for Psychosis′in China,with date traced from 1st August 2011 to 31st December 2020.Results By the end of 2020,the information system was adopted by 100%of districts/counties.6430587 patients were registered,with a registered rate of 0.46%(6430587/1396537459).In 2020,6116599 patients were provided with follow-up services by primary healthcare staff,with a management rate of 95.12%(6116599/6430587).5724019 patients were followed up regularly,with the regular management rate of 89.01%(5724019/6430587).Moreover,the medication-taking rate was 87.83%(5648162/6430587),and the regular medication-taking rate was 68.84%(4426498/6430587).5277746 patients were stable,and the stable condition rate was 96.40%(5277746/5474881).Compared with 2019,200430 more patients were registered in 2020.The management rate,regular management rate,medication-taking rate,regular medication-taking rate,and stable condition rate were increased by 0.88%,2.50%,3.75%,11.39%,and 1.15%,respectively.The regular medication-taking rate among patients registered in the western region was significantly lower than that in the eastern and central areas(F=6.317,P=0.005).According to the diagnosis,the duration of the untreated period of patients registered in 2020 with schizophrenia,bipolar disorder,delusional disorder,schizoaffective disorder,psychotic disorder with epilepsy,mental retardation with psychotic symptoms were 2.69,3.28,1.68,1.92,4.70,and 9.89 years respectively,which were shorter than patients registered in 2019.Conclusion The number of registered patients was sustainably growing.The untreated periods of newly registered patients were consider

关 键 词：精神障碍 社区精神卫生服务 信息系统 

分 类 号：R749[医药卫生—神经病学与精神病学]