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中医三甲医院住院患者精神心理科联络会诊回顾性分析

  • 王雪梅,曾慧梅,周晨,杨玲玲,谢晓燕,张卓,李艳

* 通信作者: 曾慧梅 单位:广东省中医院 510120

摘要


目的 分析我国大型中医三甲医院住院患者接受精神心理科联络会诊的特征。

方法 采用回顾性分析的

方法,收集广东省中医院总院区2020年1月至2023年12月接受精神心理科联络会诊患者的一般人口学资料、住院科室、躯体疾病、会诊
目的、精神科诊断和处理措施。

结果 共纳入1226例患者,年龄56.35±17.91岁,64.44%为女性患者。会诊病例最多分布在心血管科和神经科,主要合并心脑血管疾病。会诊
目的以改善失眠(34.09%)及情绪(31.81%)为主。31.48%诊断为神经症/应激相关障碍(含焦虑状态),17.78%为睡眠障碍。55.22%需精神科药物干预,26.26%为治疗躯体原发疾病或完善检查,其中OSAHS疑诊或确诊患者占26.18%。

结论 综合性医院各专科需加强与精神心理科的联络会诊,提高精神障碍和心身疾病的识别及诊疗能力。

关键词:会诊-联络精神病学;回顾性分析;心身疾病;综合性医院

ABSTRACT


Objective To examine the characteristics of inpatients receiving consultation liaison psychiatry service at large-scale tertiary hospitals of traditional Chinese medicine.

Methods The patients who referred to consultation-liaison psychiatry service were enrolled from January 2020 to December 2023. Date of demographic characteristics, physical diseases, source of referral, reason for referral, psychiatric diagnosis were collected and analyzed.

Results A total of 1226 patients were enrolled, with an average age of (56.35±17.91) years, 64.44% of them were female. Most of them were distributed in the departments of cardiovascular and neurology, mainly complicated with cardiovascular/ cerebrovascular diseases. The main reasons was to improve insomnia (34.09%) and emotional(31.81%), 31.48% of them were diagnosed as neurosis / stress-related disorders (including anxiety) and 17.78% with sleep disorders. 55.22% needed drug intervention, and 26.26% for the treatment of physical primary diseases or to improve the examination. And 26.18% were suspected or diagnosed with OSAHS.

Conclusion   The specialists in general hospitals should strengthen the liaison consultation with the department of psycho-psychology, and improve the ability to identify and treat mental disorders and psychosomatic diseases.

Key words: Consultation liaison psychiatry; Retrospective analysis; Psychosomatic disease; General hospital

引用本文 / How to Cite This Article

王雪梅,曾慧梅,周晨,杨玲玲,谢晓燕,张卓,李艳.中医三甲医院住院患者精神心理科联络会诊回顾性分析[J]. 国际精神病学杂志, 2026, 53(3): 845-849

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