论文部分内容阅读
目的探讨心理障碍患者的临床特点及诊治情况。方法 210例心理障碍患者的临床资料,并采用自制量表评价其家庭支持情况。结果本研究210例患者中,女性患者比例远大于男性患者,两数据比较,差异具有统计学意义(P<0.05),在基础疾病、婚姻状况以及工作情况比较中,男女两组比较差异均有统计学意义(P<0.05);210例患者中,以神经症最多,所占比例为48.10%,情感障碍26.19%,器质性精神障碍4.76%,单纯性睡眠障碍4.29%,其他16.67%;患者临床症状主要有头痛、头晕、睡眠障碍、乏力、恶心、手抖、肢体麻木等,其中以头痛、头晕为主,睡眠障碍和肢体麻木所占的比例也较大;本研究156例神经症和情感障碍患者中,140例患者使用抗抑郁药物治疗,5-羟色胺再摄取抑制剂使用的比例最高;使用自制量表对患者家庭支持情况进行评价,51例患者为良好组,159例患者为一般组,家庭支持与患者临床症状之间的关系,男女性别间无显著差异,良好组与一般组间比较差异有统计学意义(P<0.05)。结论内科门诊心理障碍患者多为中老年人,女性偏多,常伴随基础疾病,治疗多以药物为主,良好的家庭支持可以有效改善患者的临床症状。
Objective To investigate the clinical features and diagnosis and treatment of patients with mental disorders. Methods The clinical data of 210 patients with mental disorders were collected and their self-made scales were used to evaluate their family support. Results The proportion of female patients in this study was much larger than that of male patients. There was significant difference between the two data (P <0.05). In the comparison of basic diseases, marital status and working conditions, there were significant differences between male and female groups (P0.05). Among 210 patients, neurosis was the most, accounting for 48.10%, affective disorder 26.19%, organic mental disorder 4.76%, simple sleep disorder 4.29% and other 16.67%; Patients with clinical symptoms are headache, dizziness, sleep disorders, fatigue, nausea, hand trembling, limb numbness, headache, dizziness, sleep disorders and limb numbness accounted for a larger proportion of this study 156 cases of neurosis Among 140 patients with affective disorders, antidepressants were used in 140 patients and the highest proportion of serotonin reuptake inhibitors was used. Family support was evaluated using a self-made questionnaire, 51 patients were in good group and 159 patients were There was no significant difference between the general group, the family support and the clinical symptoms of the patients, there was no significant difference between the male and female gender, the difference between the good group and the general group was statistically significant (P <0.05). Conclusion Most patients with internal medical outpatient mental disorder are middle-aged and elderly, with more women than usual. They are often accompanied by underlying diseases. Most of them are drug-based and good family support can effectively improve their clinical symptoms.