住院精神病人8年临床资料分析

目的了解我院住院精神病人的临床特点,为精神卫生防治提供科学依据。方法采用回顾性调查方法,对8年出院的病历资料进行调查,并与我市相同年份的GDP进行相关分析。结果女性多于男性,农村人口占多数(69.24%),初中及以下文化程度偏多73.57%,婚姻状态较差。各种诱因导致精神障碍发生率为(33.83%)。精神分裂症占首位(50.34%),神经症占第2位(11.36%),情感性精神障碍占第3位(10.48%)。治疗单一用药占(64.96%),抗精神病药物使用频度最高的是氯氮平(20.07%),其次利培酮(18.70%);抗抑郁药物使用频度最高的是帕罗西汀(9.90%),其次米氮平(3.66%),好转率(85.01%)。我市人均GDP与住院各类精神病人数之间成正相关。结论随着时代的发展,我市住院精神病人数有增加趋势,尤其是神经症病人数增加明显,提示加强心理卫生工作非常必要。

The Analysis of Hospital Psychotics Clinical Information during 8 Years

Objective To investigate the clinical character of the hospital psychotics,and provide the scientific basis for the mental health prevention and cure.Methods The cases during 8 years were investigated by review method.Then the information was compared with GDP in the same year.Results In the cases,the number of female was more than male,the rural was in the majority(69.24%),and the culture level of most patients was below junior(73.75%).The marriage status of all the patients was bad.The incidence of mental disorder induced by all kinds of reasons was 33.83%,during which the schizophrenia was in the first place(50.34%),the second was the neurosis(11.36%),the third was the mood disorder(10.48%).In the therapy,the rate of single medication using was 64.96%.Among the antipsychotics,the Clozapine was used the most frequently(20.07%);the second one was Risperidone(18.70%).Among the antidepressions,the most frequently used was Paroxetine(9.90%);the second was Remeron(3.66%).The improvement rate of all the patients was 85.01%.The GDP in average of our city was in the positive relationship with the number of the entire psychotic who was in hospital.Conclusion With the time going,the number of psychotics in hospital was increased in our city,especially the number of neurosis,which suggested that it was very necessary to improve the prevention and cure of mental health.