精神科急诊老年患者就诊特点分析  

Analysis of the characteristics of outpatient treatment for elderly patients in psychiatric emergency department

作　　者：仲乐乐 余天浩[1] 袁慧琳[1] ZHONG Le-le;YU Tian-hao;YUAN Hui-lin(Department of Critical Care Medicine,The Affiliated Brain Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学附属脑科医院重症医学科,210029

出　　处：《临床精神医学杂志》2024年第5期390-392,共3页Journal of Clinical Psychiatry

摘　　要：目的:了解精神科急诊老年患者的就诊特点。方法:回顾性调查2022年8月1日至2022年10月31日期间,在南京脑科医院精神科急诊就诊老年患者的诊疗情况。结果:共纳入精神科急诊老年患者224例,平均年龄(71.33±8.62)岁;按年龄划分为低龄老人组(60~75岁)和高龄老人组(≥75岁)。组间比较,低龄老人组心境障碍、精神分裂症或其他原发性精神病性障碍、睡眠觉醒节律障碍比例较高,高龄老人组神经认知障碍和痴呆的比例较高,差异有统计学意义(χ^(2)=52.291,P<0.001);高龄老人组使用抗精神病药的比例较高,低龄老人组使用镇静催眠药比例较高,差异有统计学意义(χ^(2)=4.500,P=0.034);高龄老人组合并慢性躯体疾病比例较高,差异有统计学意义(χ^(2)=7.741,P=0.005)。结论:不同年龄阶段精神科急诊老年患者有不同的临床特征;接诊时需关注躯体疾病情况,综合评估和诊治;应加强对精神科急诊医学建设的重视和研究。Objective:To understand the medical characteristics of elderly patients in psychiatric emergency department.Method:A retrospective survey was conducted on the general information and treatment status of elderly patients who received emergency treatment in the psychiatric department of Nanjing Brain Hospital from August 1,2022 to October 31,2022.Results:There were 224 elderly patients seeking emergency treatment in the psychiatric department,with an average age of(71.33±8.62)years;All research subjects were devided into a younger age group(60-75 years old)and an older age group(≥75 years old).The proportion of mood disorders,schizophrenia or other primary psychotic disorders,and sleep-wake rhythm disorders was higher in the young elderly group,and the proportion of neurocognitive disorders and dementia was higher in the elderly group(χ^(2)=52.291,P<0.001);the proportion of antipsychotic drugs used by the elderly group is higher than that of the younger group,and the proportion of sedative and hypnotic drugs used by the younger group is higher than that of the elderly group,with a significant difference(χ^(2)=4.500,P=0.034).The proportion of elderly people with chronic physical diseases is significantly higher than that of the younger elderly group(χ^(2)=7.741,P=0.005).Conclusion:Elderly psychiatric emergency patients of different ages have different clinical characteristics.It is necessary to pay attention to the condition of physical diseases,comprehensive assessment and diagnosis and treatment;it is also necessary to pay more attention to and research the construction of psychiatric emergency medicine.

关 键 词：精神障碍 老年患者 急诊 

分 类 号：R749.05[医药卫生—神经病学与精神病学]