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目的总结1998年和2008年综合医院心理科住院患者的临床资料变化特点。方法对中山大学附属第三医院心理科1998年456例和2008年1255例住院患者的临床资料进行回顾性对照研究。结果将1998年和2008年的住院患者按年龄分为1998年组与2008年组。(1)2组男女患者性别比差异无统计学意义(P>0.05)。(2)2组均以20～29岁年龄段最多(35.53%,34.58%),2008年较1998年在<10岁和30～39岁年龄段的患者构成比均下降(P<0.01,P<0.05)。(3)2组居住广州市内及市外构成比比较差异有统计学意义(P<0.05)。(4)2组均以精神分裂症和其他精神病性障碍最多(50.0%,49.80%),2008年心境障碍患者构成比较1998年上升(P<0.01),而癔症、应激相关障碍、神经症的构成比下降(P<0.01)。结论该综合医院心理科住院患者10年前后有一定人口学特征,病种随着社会发展有所变化。
Objective To summarize the changes of clinical data of inpatients admitted to Department of Psychology in General Hospital in 1998 and in 2008. Methods The clinical data of 456 cases of psychology department in the Third Affiliated Hospital of Sun Yat-sen University in 1998 and 1,255 inpatients in 2008 were retrospectively studied. Results The hospitalized patients in 1998 and 2008 were divided into the 1998 and 2008 groups by age. (1) There was no significant difference in sex ratio between the two groups (P> 0.05). (2) The two groups were the most (35.53%, 34.58%) in the age group of 20 to 29 years old, and the percentages of patients in the age group <10 years and 30-39 years were significantly lower than those in 1998 (P <0.01, P <0.05). (3) There were significant differences between the two groups living in Guangzhou and outside the city (P <0.05). (4) The incidence of schizophrenia and other psychotic disorders was the highest in both groups (50.0%, 49.80%) in 2008, and the composition of mood disorders in 2008 was higher than that in 1998 (P <0.01). Hysteria, stress related disorders, neurosis (P <0.01). Conclusion The general hospital psychiatric inpatients 10 years ago have a certain demographic characteristics, with the changes in social development.