广州市综合医院住院患者抑郁障碍患病率调查

摘要

目的 了解广州市综合医院住院患者抑郁障碍的患病及诊疗状况.方法 采用分层随机抽样法抽取广州市3家综合医院,在2010年10月25日～12月20日使用美国《精神疾病诊断与统计手册第四版》DSM-Ⅳ轴I障碍定式临床检查病人版(SCID)完成对≥16岁的539例住院患者的调查.结果 广州市综合医院各类抑郁障碍总的现患病率为12.24％(95％ CI:9.48～15.01),其中重性抑郁障碍为5.94％ (95％ CI:3.94 ～7.93),未特定抑郁障碍为3.90％ (95％ CI:2.26～5.53).在66例抑郁障碍现患者中,仅有7例(10.61％)得到正确诊断,2例(3.03％％)接受治疗.抑郁障碍现患率女性显著高于男性(17.42％ vs7.27％,RR =2.69,95％CI:1.54～4.69),内科高于外科(15.60％ vs8.29％,RR =2.04,95％ CI:1.15 ～3.65).结论 广州市综合医院住院患者抑郁障碍患病率高、识别率及治疗率低,应尽快制定相应措施以提高综合医院患者抑郁障碍的诊治率.%Objective To investigate the prevalence of depressive disorders and the care-seeking of depressed individuals in inpatients in general hospitals in Guangzhou. Methods 539 inpatients aged 16 years old and above screened from 3 general hospitals in Guangzhou by the means of stratified randomization sampling were interviewed with the Structured Clinical Interview for DSM-FV Axis I Disorders (SCID) from October 25, 2010 to December 20, 2010. Results The point prevalence of depressive disorders was 12. 24% (95% Cl;9.48 ~ 15.01) , that of major depression and not-otherwise-specified depressive disorders was 5. 94% (95% C/: 3. 94 ~7. 93) , 3. 90% (95% C1: 2. 26 ~ 5.53) respectively. Among the 66 patients with depressive disorder, only 7 cases (10. 61%) had been accurately diagnosed and only 2 cases (3.03% ) had been treated. The prevalence of depressive disorder was significandy higher in females than in males (17.42% vs. 7. 27% , RR =2. 69, 95% C1: 1. 54 ~4. 69), and was significantly higher in internal wards than in surgical wards (15.60% vs. 8. 29% , RR = 2. 04, 95% C1: 1. 15 ~3.65). Conclusion The prevalence of depressive disorder in inpatients in general hospital in Guangzhou is high, but the rate of diagnosis and treatment is relatively low. Countermeasures should be made to improve the present status.