CAJ | 학술논문

目的探讨不同时点精神科门诊就诊结构及治疗状况. 方法抽取2006年1月1日～2月10日在我院门诊就诊的480例精神病患者设为研究组,抽取2001年1月1日～2月10日在我院门诊就诊的404例精神病患者设为对照组.统计两组患者的一般资料、疾病诊断及药物治疗状况并进行对比分析. 结果两组一般资料均无显著性差异(P＞0.05);研究组情感性精神病、疑似精神分裂症诊断率显著高于对照组,而分裂样精神病诊断率显著低于对照组(P均＜0.01);抗精神病药物奋乃静、舒必利选择率显著低于对照组,而阿立哌唑、喹硫平选择率显著高于对照组(P＜0.01);抗抑郁剂曲唑酮、氟西汀选择率显著低于对照组,而舍曲林、帕罗西汀、西酞普兰选择率显著高于对照组(P＜0.05或0.01);情绪稳定剂丙戊酸钠选择率显著高于对照组(P＜0.01);苯二氮(艹)/(卓)类药物氯硝西泮选择率显著低于对照组(P＜0.01). 结论精神科门诊就诊者情感性精神病及疑似精神分裂症诊断率显著增加,而分裂样精神病诊断率显著下降;新型抗精神病药物及新型抗抑郁剂使用率有明显增加趋势;苯二氮(艹)/(卓)类药物使用率有显著下降趋势.首诊病程尚无变化,人们对精神疾病的认识依然不足,有关职能部门应进一步加大宣传力度,提高人们对精神疾病的认识能力,以利于早发现、早就医.
목적 탐토불동시점정신과문진취진결구급치료상황. 방법 추취2006년1월1일～2월10일재아원문진취진적480례정신병환자설위연구조,추취2001년1월1일～2월10일재아원문진취진적404례정신병환자설위대조조.통계량조환자적일반자료、질병진단급약물치료상황병진행대비분석. 결과 량조일반자료균무현저성차이(P＞0.05);연구조정감성정신병、의사정신분렬증진단솔현저고우대조조,이분렬양정신병진단솔현저저우대조조(P균＜0.01);항정신병약물강내정、서필리선택솔현저저우대조조,이아립고서、규류평선택솔현저고우대조조(P＜0.01);항억욱제곡서동、불서정선택솔현저저우대조조,이사곡림、파라서정、서태보란선택솔현저고우대조조(P＜0.05혹0.01);정서은정제병무산납선택솔현저고우대조조(P＜0.01);분이담(초)/(탁)류약물록초서반선택솔현저저우대조조(P＜0.01). 결론 정신과문진취진자정감성정신병급의사정신분렬증진단솔현저증가,이분렬양정신병진단솔현저하강;신형항정신병약물급신형항억욱제사용솔유명현증가추세;분이담(초)/(탁)류약물사용솔유현저하강추세.수진병정상무변화,인문대정신질병적인식의연불족,유관직능부문응진일보가대선전력도,제고인문대정신질병적인식능력,이리우조발현、조취의.
Objective To explore the structure of doctors' office visiting and therapeutic status at psychiatry outpatient service at different time-points. Methods 480 patients with psychosis who visited doctors' office at outpatient service of our hospital from Jan. 1 to Feb. 10, 2006 were assigned to research group and 404 ones from Jan. 1 to Feb. 10, 2001 to control group.General data,disease diagnosis and medication status were added up and analyzed contrastively. Results There were no significant differences in general data(P>0.05);diagnostic rates of affective psychoses and suspected schizophrenia were significantly higher and that of schizophreniform psychosis lower in the research group(all P<0.01);selective rates of antipsychotics such as perphenazine and sulpiride were significantly lower and those of aripiprazole and quetiapine higher in the research group(P<0.01); those of antidepressants such as trazodone and fluoxetine were significantly lower and those of sertraline,paroxetine and citalopram higher in the research group(P<0.05 or 0.01); that of mood stabilizer as sodium valproate was significantly higher in the research group(P<0.01); that of benzodiazepines as clonazepam was significantly lower in the research group(P<0.01). Conclusion Diagnostic rates of affective psychoses and suspected schizophrenia obviously increase in psychiatric out-patients and that of schizophreniform psychosis decrease;utilizations of novel antipsychotics and antidepressants have obvious increasing tendency and those of benzodiazepines decrease significantly. First-diagnostic course has no changes and persons' knowledge regarding psychosis is still insufficient,relevant functional departments should further increase propaganda vigor and raise persons' perceptual ability to psychoses to be good for early recognition and receiving medical treatment in time.