【摘要】 目的探讨老年精神科患者的临床特点。方法调查2006～2008年老年科全部出院患者病历600份,比较分析其相关资料。结果精神科老年住院患者中以女性居多占58.8%。在精神科疾病中,每年均以器质性精神障碍、精神分裂症、心境障碍为多发病种。2006年器官性精神障碍患病率42.4%均高于2007年和2008年的31.7和22.3%,且2007年高于2008年,差异均有统计学意义(P<0.05或P<0.01);2006年精神分裂症患病率为19.2%低于2007年和2008年的27.9和39.9%,且2007年也低于2008年,差异均有统计学意义(P<0.05或P<0.01)。半数以上患者诊断有躯体疾病。老年患者用药应以第2代抗精神病和(或)抗抑郁药物为主。结论医师在诊断时应更加注重客观依据。老年患者用药安全是第1位考虑的因素,还应考虑精神科药物与躯体疾病药物之间的相互作用。老年人应定期进行全面的身体检查,及早发现躯体疾病,及早治疗。更多还原

【Abstract】 Objective To explore the clinical characteristics of senile psychiatric patients.Methods From 2006 to 2008,600 cases medical records of senile subjects were discharged,comparatived and analysed of the relevant information. Results In senile psychiatric inpatients accounted for 58. 8% was females. In psychiatric disorders,organic mental disorders,schizophrenia,mood disorders were the frequently-occurring species. 2006,the prevalence of mental disorders(42. 4% ) were higher than that in 2007(31. 7% )and 2008(22. 3% ),and that in 2007 was higher than 2008,the differences were statistically significant(P < 0. 05 or P < 0. 01);Prevalence of schizophrenia in 2006(19. 2% )was lower than that in 2007(27. 9% )and 2008(39. 9% ),and in 2007 was also lower than in 2008,the differences were statistically significant(P < 0. 05 or P < 0. 01). More than half of patients diagnosed with physical disease. Medication in senile patients should take the 2nd generation antipsy-chotic and(or)antidepressants. Conclusion Doctors should prefer to objective evidences during diagnosing diseases,focus on the safety of senile patients firstly,and the interaction between psychiatric and physical medicine should under consideration as well. Senile patients should have a check-up regularly,in order to find and treat diseases timely.更多还原