综合医院针灸科门诊焦虑抑郁障碍患病率调查与分析

摘要

目的:调查北京市某三级综合医院针灸科门诊患者中焦虑抑郁发生情况.方法:采用Zong焦虑量表(SAS)及抑郁量表(SDS)对门诊初诊患者进行筛查.粗分≥40的患者采用汉密尔顿抑郁量表17(HAMD17)、汉密尔顿焦虑量表(HAMA)进一步评估,并参照国际疾病分类第十版(ICD-10)关于焦虑、抑郁的诊断标准作出诊断.结果:筛查了针灸科门诊患者325例,男106例,女219例,焦虑抑郁障碍患病率为34.77%,其中女性患病率24%,男性患病率10.77%,女性明显高于男性.筛查为阳性的患者中,年龄≥40岁的占71.68%.结论:综合医院针灸科门诊就诊患者中焦虑抑郁障碍患病率较高,多数患者以疼痛等躯体不适就诊,易造成误诊漏诊.因此,应引起针灸科医师的重视,针灸科医师需要进行精神病基本常识培训,提高对相关疾病的识别率和治疗水平.%Objective:To investigate the prevalence rate of anxiety and depression among outpatients in the department of Acupuncture and Moxibustion in a 3A grade general hospital in Beijing. Methods: All the first-visit-outpatients were tested with Zung' s Self-rating Depression Scale (SDS) and Self mating Anxiety Scale (SAS). Outpatients of the group, of whose initial scores ≥40, were tested further with the 17-item Hamilton Depression Scale (HAMD17) and the Hamilton Anxiety Scale (HAMA). And the diagnoses were made according to the 10th edition of International Classification of Disease Criteria (ICD10). Results: Among 325 cases, 106 cases were male and 219 cases were female, disease rate of anxiety and depression disorder accounted for 34.77% , female accounted for 24% and male accounted for 10.77% in the category of sex. The Prevalence rate in female is significantly higher than that in male . People who are aged 40 and over accounts for 71. 68 % among outpatients screened positive. Conclusion: There is a higher prevalence of anxiety and depression disorder among outpatients in the department of Acupuncture and Moxibustion in general hospital . Most patients are complained of physical malaise which easily resulted in a misdiagnosis , more attention and training on basic knowledge of psychosis should be paid to doctors of department of Acupuncture and Moxibustion , so as to improve their ability of diagnosis and treatment.