CAJ | 학술논문

目的探讨精神病院住院患者精神障碍与神经系统疾病共病的特征.方法研究对象为2012年5-11月天津市安定医院602例住院精神疾病患者,按患者入院顺序并于入院5d后依次进行调查.精神障碍及神经系统疾病的诊断参照国际疾病分类第10版(ICD-10)诊断标准.结果 602例精神疾病住院患者中共病神经系统疾病72例,共病率为12.0％；共病的神经疾病主要是脑梗死、癫(痫)和帕金森病,共病率分别为7.5％(45例)、4.2％(25例)、0.3％(2例),以脑梗死共病率最高.精神分裂症、双相障碍、抑郁障碍、器质性精神障碍、使用酒精所致的精神和行为障碍患者平均年龄分别为(55±10)、(50±7)、(52±7)、(58±10)和(47±4)岁,差异无统计学意义(F=0.298,P=0.878)；性别比(男/女)分别为21/10、5/2、1/3、24/4、2/0,其间差异有统计学意义(x2=34.566,P=0.000)；神经系统疾病共病率分别为7.1％(31/439)、11.9％ (7/59)、11.4％(4/35)、90.3％(28/31)和9.1％(2/22),差异有统计学意义(x2=169.7,P=0.000),以器质性精神障碍的神经系统疾病共病率最高.结论精神障碍患者神经系统疾病共病率较高,常伴发的神经系统疾病为脑梗死、癫(痫)和帕金森病,以脑梗死最为常见；精神障碍共病神经系统疾病具有一定的年龄和性别特征,共病率以器质性精神障碍者最高.
목적 탐토정신병원주원환자정신장애여신경계통질병공병적특정.방법 연구대상위2012년5-11월천진시안정의원602례주원정신질병환자,안환자입원순서병우입원5d후의차진행조사.정신장애급신경계통질병적진단삼조국제질병분류제10판(ICD-10)진단표준.결과 602례정신질병주원환자중공병신경계통질병72례,공병솔위12.0％；공병적신경질병주요시뇌경사、전(간)화파금삼병,공병솔분별위7.5％(45례)、4.2％(25례)、0.3％(2례),이뇌경사공병솔최고.정신분렬증、쌍상장애、억욱장애、기질성정신장애、사용주정소치적정신화행위장애환자평균년령분별위(55±10)、(50±7)、(52±7)、(58±10)화(47±4)세,차이무통계학의의(F=0.298,P=0.878)；성별비(남/녀)분별위21/10、5/2、1/3、24/4、2/0,기간차이유통계학의의(x2=34.566,P=0.000)；신경계통질병공병솔분별위7.1％(31/439)、11.9％ (7/59)、11.4％(4/35)、90.3％(28/31)화9.1％(2/22),차이유통계학의의(x2=169.7,P=0.000),이기질성정신장애적신경계통질병공병솔최고.결론 정신장애환자신경계통질병공병솔교고,상반발적신경계통질병위뇌경사、전(간)화파금삼병,이뇌경사최위상견；정신장애공병신경계통질병구유일정적년령화성별특정,공병솔이기질성정신장애자최고.
Objective To study the state of neuropathy comorbidities of patients with mental disorders,and to deplore the characters of neuropathy comorbidities in psychiatric hospital.Methods A consecutive series of 602 patients with mental disorders were surveyed on their neuropathy comorbidities after five days of hospitalization from May to November,2012 in Tianjin Anding hospital.Both mental disorders and nervous system diseases were diagnosed according to the diagnostic criteria from international classification of diseases (ICD)-10.Results The comorbidity of nervous system diseases including cerebral infarction,epilepsy and parkinson's disease,was 12.0％ in 602 inpatients,and that of cerebral infarction was 7.5％ (45/602),showing the highest level in neuropathy comorbidities.Between the five kinds of mental disorders patients,there were differences of the mean age (F =0.298,P=0.878) and the gender ratio (x2 =34.566,P =0.000).The neuropathy comorbidities were different among the five kinds of mental disorders(x2 =169.7,P =0.000),and that of organic psychosis was 90.3％ (28/31),showing the highest level in mental disorders.Conclusions The psychiatric inpatients have a high level of neuropathy comorbidities,especially organic psychosis.The cerebral infarction,epilepsy and parkinson's disease are mostly common in neuropathy comorbidities.There is a close relation among psychosis neuropathy,age and sex characters.