流浪精神病患者合并躯体疾病调查

目的:调查流浪精神病患者合并躯体疾病的情况。方法:回顾性分析1 043例住院流浪精神病患者的临床资料。结果:入组的患者中69%流浪精神病患者伴有躯体疾病,以皮肤软组织损伤(38%)、传染病(25%)和营养不良(15%)为最多。男性患者皮肤软组织损伤、骨折、感染性疾病伴有率明显多于女性(χ2=51.92,P0.001;χ2=5.82,P=0.016;χ2=8.15,P=0.004);女性患者梅毒感染率明显高于男性(χ2=13.42,P0.001)。结论:流浪精神病患者普遍伴有躯体疾病,女性患者性病伴发率高,男性患者躯体损伤、感染性疾病伴发率高。

Investigation of combined Physical illness in homeless Psychiatric Patients

To investigate the features of somatic diseases in homeless psychiatric patients. Method：The clinical data of 1 043 homeless psychiatric inpatients were retrospectively analyzed. Results：There was 69% csaes combined physical illness. The most common diseases were skin and soft tissue injuries （38% ）,infectious diseases（25% ）and malnutrition（15% ）. The rates of combined skin and soft tissue inju-ries,fracture and infectious diseases in male patients were significantly higher than those in female（ χ2 =51. 92,P ﹤ 0. 001;χ2 = 5. 82,P = 0. 016;χ2 = 8. 15,P = 0. 004）. The syphilis infection rates in female patients was significantly higher than in male patients（χ2 = 13. 42,P ﹤ 0. 001）. Conclusion：The homeless psychiat-ric patients are commonly combined physical illness. The rates of combined venereal disease is higher in female patients and combined body injury,infectious diseases are higher in male patients.