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目的:探讨社区医院全科医疗门诊精神心理障碍患病率及治疗情况,总结预防、诊疗经验。方法:对上海石泉社区卫生服务中心2013年度全科门诊收治患者临床资料进行回顾性分析。结果:632例患者共确诊精神心理疾病患者92例,发病率约14.56%;19~45岁达30.48%,其次为46~55岁达18.09%,再次为≥75岁达15.00%;19~45岁患者,男性占75.00%,46~55岁患者,女性占67.65%,差异具有统计学意义(P<0.05);抑郁症构成比最高达30.43%,其次为焦虑症达25.00%,再次为睡眠障碍与烟草滥用达10.87%;初次确诊29例占31.52%,治愈率27.17%。结论:社区精神疾病发病率高,多见于青中年,以抑郁、焦虑为主要类型;社区医院诊断与治疗水平有待提高。
Objective: To investigate the prevalence and treatment of mental health problems in general hospitals in community hospitals, and to summarize the experience of prevention and treatment. Methods: A retrospective analysis was performed on the clinical data of patients admitted to the General Hospital of Shiquan, Shanghai, a community health center in 2013. Results: Among the 632 patients, 92 cases were diagnosed with mental illness, the incidence was about 14.56%, 19.44% was 30.48%, followed by 18.09% at 46-55 years and 15.00% The age-old patients accounted for 75.00% of males, 46-55 years of age patients and 46.65% of women, the difference was statistically significant (P <0.05); depression constituent ratio up to 30.43%, followed by anxiety disorders up to 25.00%, sleep again Obstacles and tobacco abuse up to 10.87%; initial diagnosis of 29 cases accounted for 31.52%, the cure rate was 27.17%. Conclusion: The incidence of community mental illness is high, more common in young middle age, with depression and anxiety as the main types; the diagnosis and treatment of community hospitals need to be improved.