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心身疾病是指心理因素在病因和病程演变中起主导或重要作用的具有躯体症状的疾病。它们多数受丘脑和下丘脑影响,与植物神经系统和内分泌系统功能密切有关。心身疾病和躯体疾病均有明确的躯体症状和受累器官。两者的区别在于前者在发生、发展过程中心理因素起着重要作用。心身疾病和神经官能症虽然均以心理因素为诱因,但后者仅表现为功能障碍。精神因素对疾病的影响是医学界长期以来研讨的重要课题。为了了解心身疾病在综合性医院门诊中的比例、心身疾病的性别、年龄等分布情况以及社会心理因素与心身疾病的关系。我们对中山医院和华山医院有关科门诊的心身疾病作了一次调查,现报告如下。
Psychosomatic disease refers to the psychological factors in the etiology and course of disease plays a leading or important role in somatic symptoms of the disease. Most of them affected by the thalamus and hypothalamus, and the autonomic nervous system and endocrine system is closely related. Psychosomatic and somatic diseases have clear somatic symptoms and affected organs. The difference between the two is that the former plays an important role in the occurrence and development of psychological factors. Although psychosomatic disease and neurosis are psychological factors as incentives, but the latter only showed dysfunction. The impact of mental illness on the disease has long been an important issue for the medical community. In order to understand the proportion of psychosomatic disease in general hospital outpatient, the distribution of psychosomatic disease’s sex, age, and the relationship between psychosocial factors and psychosomatic disease. We conducted a survey on psychosomatic diseases related to outpatient clinics in Zhongshan Hospital and Huashan Hospital. The report is as follows.