摘要
目的调查本院心理咨询门诊与普通专科门诊就诊疾病谱的差异,了解两者在精神分裂症治疗上的差异以及对预后的影响。方法以1/20抽取1995～2002年间的门诊病例进行统计分析,其中心理咨询门诊病例79份,普通专科门诊病例143份。自行设计表格对就诊者的性别、年龄、初诊诊断和服药、住院情况进行统计,比较两者就诊疾病谱的差异,以及两者在精神分裂症治疗上的差异和对预后的影响。结果(1)心理咨询门诊就诊者以心境障碍和神经症为主(分别达25%和27%),普通专科门诊以精神分裂症为主(48%,t=14．66,P＜0．005)；(2)在精神分裂症的治疗上,心理咨询门诊第二代抗精神病药(SGAs)的应用率较高(50%vs 14%,P＜0．005),两处就诊者的预后也存在差异。结论心理咨询门诊与普通专科门诊在初诊中存在一定的分工；两者对精神分裂症治疗存在差异,这种差异可能直接导致精神分裂症的预后,我国有待建立规范的精神分裂症治疗指南；全社会对非重性精神疾病的重视程度仍有待加强。
Objective To compare the feature of patients who were first visited to a doctor between psychocounseling clinics and psychiatric clinics. Methods A total of 222 cases with first visit to a doctor in two clinics from 1995 to 2002 were selected and analyzed respectively. Results The illness-pedigree of patients were significantly different between the two clinics （P〈0.05）. The patients had predominance of mood disorders and neurosis in psycho-counseling clinics and predominance of schizophrenia in psychiatric clinics. The using rate of second generation antipsychotics （SGAs） in schizophrenia treatment in psycho-counseling clinics was significantly higher than that in psychiatric clinics （50%vs14% ,P〈0. 005）. Conclusion There are some differences between psycho-counseling clinics and psychiatric clinics in illness-pedigree of patients, curative pattern for schizophrenia. Mental health education must be strengthened for populace.
出处
《山东精神医学》
2006年第4期245-247,共3页
Shangdong Archives of Psychiatry
关键词
心理咨询门诊
精神分裂症
非重性精神疾病
Psycho-counseling clinics Schizophrenia Non-serious mental disease
作者简介
奚巍（1969-），男，上海市人，副主任医师，从事老年精神障碍临床工作
