焦虑症院外误诊与原因分析

目的　探讨焦虑症患者院外误诊的现状及原因。方法　采用自编《焦虑症患者既往就诊状况》调查表 ,分别对 46例首次住院焦虑症患者进行调查分析。结果　所有患者在首次发病后最先就诊于大型综合医院或基层综合医院 ,并多次奔波于各科室之间 ;首诊误诊率高达 1 0 0 % ,总误诊率为 87% ;综合科医生常用的精神科诊断有更年期综合症、植物神经功能紊乱、神经衰弱 ;单纯的内科治疗效果不理想。患者的述情障碍以及躯体主诉症状、综合科医生精神科知识的相对缺乏可能是导致对焦虑症识别率低的主要原因。结论　焦虑症患者院外误诊率极高 ,应重视综合医院医生精神科知识的再教育。

The Analysis of Misdiagnostic Status and Its Causes for Anxiety Patients who weren''''t Hospitalization

Objective To investigate the misdiagnostic status and its causes for Anxiety patients who weren't hospitalization.Methods A self designed questionnaire for anxiety patients was used in 46 such patients who were hospitalized for the first time.Results All of the patients were hospitalized in large hospital after their first onset of illness,and the misdiagnosis rate for the first time was 100%, and total misdiagno sis rate was 87%.Menopause syndrome,autonomic dysfunction and Neurasthenia used to be adopted by doctors.The curative effect of pure medical treatment was not satisfactory.Alexthymia and main symptom in the body of Anxiety patients,and doctors' lack of knowledge in Psychiatry were possibly main causes that resulted in low diagnosis rate.Conclusion The misdiagnostic rate of Anxiety patients was very high when they were not hospitalization,and it was important for the doctors to learn more about psychiatry.