某三级甲等中医院精神病科住院患者疾病构成分析

目的分析某三级甲等中医院精神病科疾病构成及分布情况,为精神疾病防治和学科建设提供理论依据。方法回顾性分析某中医院4178份精神病科住院病案首页资料,收集患者的性别、年龄、出院主要诊断、住院天数、住院费用等信息进行统计分析。结果精神分裂症、抑郁症、焦虑症、急性应激反应和癫痫性精神病是精神病科住院患者前5位疾病,累积占比94.16%。精神分裂症患者男性占比(65.35%)高于女性(34.65%);抑郁症、焦虑症、急性应激反应疾病患者女性占比高于男性(P<0.001)。从整体上看,精神疾病患者31~45岁占比最高(35.38%)。其中精神分裂症(46.62%)、急性应激反应(30.48%)、癫痫性精神病(49.38%)患者31~45岁年龄组占比最大;抑郁症患者16~30岁年龄组占比最大(24.11%);焦虑症患者>60岁年龄组占比最大(39.35%)。结论精神分裂症是精神病科主要收治疾病,男性、青壮年为高发人群,应加强这类疾病防治。

Analysis of the disease composition of inpatients in the psychiatric department of a tertiary Chinese hospital

Objective To analyze the composition and distribution of diseases in the psychiatric department of a tertiary TCM hospital,and provide theoretical basis for mental illness prevention and discipline construction.Methods A retrospective analysis of the first page data of 4178 psychiatric inpatient records in a Chinese hospital was performed.Gender,age,main diagnosis of discharge,length of stay,hospitalization expenses and other information were collected for statistical analysis.Results The top 5 diseases of inpatients in the psychiatric department were schizophrenia,depression,anxiety,acute stress response and epileptic psychosis,with a cumulative constituent ratio of 94.16%.the proportion of men(65.35%)suffering from schizophrenia was greater than that of women(34.65%);the proportion of female patients with depression,anxiety and acute stress reaction diseases was higher than that of male patients(P<0.001).On the whole,patients with mental illness between 31 and 45 years old accounted for the highest proportion(35.38%).Among them,patients with schizophrenia(46.62%),acute stress response(30.48%),and epileptic psychosis(49.38%)accounted for the largest proportion in the 31-45 year-old age group;depression patients accounted for the largest proportion in the 16-30 year-old age group(24.11%);anxiety patients in the over 60 years old age group accounted for the largest proportion(39.35%).Conclusion Schizophrenia is the main disease admitted in the psychiatric department.Men and young adults are high-risk groups.The prevention and treatment of this type of disease should be strengthened.