70例抑郁症误诊分析

目的探讨抑郁症的误诊原因和应对措施。方法用CCMD-3抑郁症的诊断标准对70例误诊抑郁症患者作临床分析和药物治疗,以SDS量表评定疗效。结果误诊的抑郁症患者均因躯体症状为主诉在内科治疗,病程在3个月以上。常见的误诊诊断有冠心病或心绞痛、消化道溃疡或慢性胃炎、更年期综合症、神经衰弱、植物神经功能紊乱等,单纯的内科治疗不理想,抗抑郁药有效,总显效率80%。结论应重视精神科知识的科普宣传。

Analysis on misdiagnosis of 70 depression patients

Objective To explore the reasons and confronting measures on misdiagnosis of depression patients.Methods Using the critria of CCMD-3 for depression to analyse and giving drug treatment on the misdiagnostic depression patients,curative effects were assessed by the reduction rate of SDS.Results The misdiagnostic depression patients were all seeking internal medicine before,the entire course of the disease were over 3 months,the common misdiagnosis involved:coronary heart disease of angina pectoris,peptic ulcer or chronic gastritis,involutional syndrome,neurasthenia,autonomic dysfunction etc.Purely internal medicine treatment was not satisfactory,antidepressant was effective and the significant improvement rate was 80%.Conclusion Publicity of popular psychiatric knowledge should be taken seriously.