住院病历有关情志病证发病因素调查分析

目的了解三级甲等中、西医院医生对于情志病证发病因素的认识，各疾病与情志因素致病的相关性，为临床流行病学调查提供基础。方法参照情志病证诊断标准，采用整群分层抽样法对山东省立医院、济南市中心医院、山东省中医院近3年54703份住院病历进行回顾性病因学调查，对506例阳性病历进行分析。结果与情绪有关病历共筛出506份，占总病历数的0．92％。阳性病历中疾病分布情况，心内科疾病占阳性病历的62．5％，神经内科疾病占12．06％，消化科疾病占7．11％，妇科疾病占3．56％；致病情绪中情绪激动占情志病历的43．87％，怒占25．69％；情志病历中女性较多，占情志病历总数的56．72％。结论心血管疾病与负性情绪关系较大，基本情绪“怒”与疾病关系较大，女性情志病患者发生率高于男性，年龄与情志病证发生率呈正相关。

Investigation and Analysis on Etiology of Emotional Diseases of Hospital Case History

Objective To find out the relativity of diseases and emotional factors,provide foundation for the clinical epidemiologic survey,and to know about the doctors understanding of emotional etiology.Method Consulting to the diagnostic criterion of emotional diseases,whole-team-delamination method was adopted to research 54 703 registered case history of retrospective etiology in hospitals(Established Hospital of Shandong Province,Jinan City Central Hospital,TCM Hospital of Shandong Province) within 3 years.Resul...