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目的 了解 1 989～ 1 999年住院精神病人疾病谱变化。方法 调查 1 989及 1 999年每季度第二月份 ( 2、5、8、1 1月 )住院的所有精神病人。结果 分别收集 2 4 3例及 50 6例病例的统计表明 ,1 0年中的反应性精神障碍、情感性精神障碍及人格障碍构成比 ,无显著差异 ,精神分裂症构成比显著减少 ,神经症、海洛因依赖则显著增加 ,平均住院天数显著减少 ,治愈率显著提高 ,精神分裂症病人中偏执型、单纯型、青春型比例显著减少 ,未定型和分裂样精神病比例显著增加 ,紧张型比例无显著差异。结论 近年来住院精神病人疾病谱发生了变化 ,轻症精神疾病患者明显增多。
Objective To understand the changes in the disease spectrum of inpatient psychiatric patients from 1989 to 1999. METHODS: All mental patients hospitalized in the second month of January 989 and 1999 (February 2, 5, 8 and January) were investigated. Results The statistics of 234 cases and 506 cases were collected separately. It was shown that the proportion of reactive mental disorders, affective disorders and personality disorders in the 10 years was not significantly different. The schizophrenic constituent ratio was significantly reduced, and neurosis was significantly reduced. Heroin dependence increased significantly, the average number of hospital stays decreased significantly, and the cure rate increased significantly. The proportion of paranoid, simple, and youthful type in patients with schizophrenia was significantly reduced, the proportion of undecided and split-like psychosis was significantly increased, and the proportion of tension-type was not significant. difference. Conclusion In recent years, the spectrum of inpatient mental illness has changed, and patients with mild mental illness have significantly increased.