中国民康医学
中國民康醫學
중국민강의학
MEDICAL JOURNAL OF CHINSEE PEOPLE HEALTH
2014年
24期
92-93,96
,共3页
精神分裂症%现状分析%南通市开发区
精神分裂癥%現狀分析%南通市開髮區
정신분렬증%현상분석%남통시개발구
Schizophrenia%Status analysis%Nantong economic development zone
目的：：对江苏省南通市开发区的精分裂症患者现状进行调查分析。方法：在2009年我们精神科专业医师对南通市开发区精神疾病患者调查的基础上，以及近5年来新增精神分裂症患者汇总、分析。结果：(1)南通市开发区总人数145078人，精神分裂症患者306例(2.11译)；其中2009年精神分裂症患者300例，至2014年8月新增15例，去世9例；年龄17~87岁，平均年龄(51.67±15.20)岁；总病程1~49年，平均病程(19.76±10.93)年；其中男135例(44.12%)，女171例(55.88%)，性别比女：男=1.27：1；已婚193例(63.1%)，离异64例(20.9%)，未婚49例(16.0%)。(2)按文化程度不同，文盲75例(24.5%)，小学67例(21.9%)，中学128例(41.8%)，大专及以上36例(11.8%)。(3)306例精神分裂症患者中，低保79例(25.8%)，低收入113例(36.9%)，优抚6例(1.96%)，重残25例(8.17%)；维持服用抗精神病药物患者194例(63.4%)，其中服用非典型抗精神病药物108例，以氯氮平、利培酮为主，服用典型抗精神病药物86例，以氯丙嗪、舒必利为主，不服药112例(36.6%)。结论：南通市开发区女性精神分裂症患者略多于男性，约2/5精神分裂症患者尚未服药，且经济条件较差的患病率高，因此发展社区免费治疗是适合国情的，特别是贫困精神分裂症患者。
目的：：對江囌省南通市開髮區的精分裂癥患者現狀進行調查分析。方法：在2009年我們精神科專業醫師對南通市開髮區精神疾病患者調查的基礎上，以及近5年來新增精神分裂癥患者彙總、分析。結果：(1)南通市開髮區總人數145078人，精神分裂癥患者306例(2.11譯)；其中2009年精神分裂癥患者300例，至2014年8月新增15例，去世9例；年齡17~87歲，平均年齡(51.67±15.20)歲；總病程1~49年，平均病程(19.76±10.93)年；其中男135例(44.12%)，女171例(55.88%)，性彆比女：男=1.27：1；已婚193例(63.1%)，離異64例(20.9%)，未婚49例(16.0%)。(2)按文化程度不同，文盲75例(24.5%)，小學67例(21.9%)，中學128例(41.8%)，大專及以上36例(11.8%)。(3)306例精神分裂癥患者中，低保79例(25.8%)，低收入113例(36.9%)，優撫6例(1.96%)，重殘25例(8.17%)；維持服用抗精神病藥物患者194例(63.4%)，其中服用非典型抗精神病藥物108例，以氯氮平、利培酮為主，服用典型抗精神病藥物86例，以氯丙嗪、舒必利為主，不服藥112例(36.6%)。結論：南通市開髮區女性精神分裂癥患者略多于男性，約2/5精神分裂癥患者尚未服藥，且經濟條件較差的患病率高，因此髮展社區免費治療是適閤國情的，特彆是貧睏精神分裂癥患者。
목적：：대강소성남통시개발구적정분렬증환자현상진행조사분석。방법：재2009년아문정신과전업의사대남통시개발구정신질병환자조사적기출상，이급근5년래신증정신분렬증환자회총、분석。결과：(1)남통시개발구총인수145078인，정신분렬증환자306례(2.11역)；기중2009년정신분렬증환자300례，지2014년8월신증15례，거세9례；년령17~87세，평균년령(51.67±15.20)세；총병정1~49년，평균병정(19.76±10.93)년；기중남135례(44.12%)，녀171례(55.88%)，성별비녀：남=1.27：1；이혼193례(63.1%)，리이64례(20.9%)，미혼49례(16.0%)。(2)안문화정도불동，문맹75례(24.5%)，소학67례(21.9%)，중학128례(41.8%)，대전급이상36례(11.8%)。(3)306례정신분렬증환자중，저보79례(25.8%)，저수입113례(36.9%)，우무6례(1.96%)，중잔25례(8.17%)；유지복용항정신병약물환자194례(63.4%)，기중복용비전형항정신병약물108례，이록담평、리배동위주，복용전형항정신병약물86례，이록병진、서필리위주，불복약112례(36.6%)。결론：남통시개발구녀성정신분렬증환자략다우남성，약2/5정신분렬증환자상미복약，차경제조건교차적환병솔고，인차발전사구면비치료시괄합국정적，특별시빈곤정신분렬증환자。
Objective:To investigate and analyze schizophrenia status of Nantong economic development zone in Jiangsu prov﹣ince. Methods:Based on the investigation on schizophrenic patients in Nantong economic development zone by our professional psy﹣chiatrists in 2009, new cases in recent 5 years were summarized and analyzed. Results:(1) The total population of Nantong economic development zone was 145078, wherein 306 cases (2. 11%) were suffered with schizophrenia, including 300 cases in 2009, 15 newly-increased cases and 9 died cases by August 2014. Their were (17-87) years old with an average of (51. 67±15. 20) year old; the total course was (1-49) years with an average of (19. 76±10. 93) years;there were 135 (44. 12%) male and 171 (55. 88%) female cases with a sex ratio of female to male of 1. 27:1;and 193 cases (63. 1%) were married, 64 cases (20. 9%) were divorced, and 49 cases (16. 0%) were unmarried. (2) Grouped by the different education background, they were 75 cases (24. 5%) of illiteracy, 67 cases (21. 9%) of primary school level, 128 cases (41. 8%) of high school level, 36 cases (11. 8%) of beyond junior college. (3) Of the 306 schizophrenics, 79 cases (25. 8%) lived on subsistence allowances, 113 cases (36. 9%) were low earners, 6 cases (1. 96%) received special care, and 25 cases (8. 17%) were severely handicapped;194 cases (63. 4%) took maintaining antipsychotic drugs, including 108 cases with atypical antipsychotics, mainly on Clozapine and Risperidone, 86 cases with typical antipsychotic, mainly on Chlorpromazine and Sulpiride, while 112 cases (36. 6%) did not take any drugs. Conclusions:Female schizophrenics are a little more than male ones in Nantong economic development zone, about 2/5 schizophrenics haven't taken medicine, and the preva﹣lence of the poorer ones is high. Therefore, the development of free community treatment is suitable for the national conditions, espe﹣cially for the poor schizophrenics.
