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目的观察分析综合医院内科门诊患者心理障碍临床表现及与躯体疾病的关系,分析心理治疗及抗抑郁、焦虑药物治疗的效果。方法采用门诊患者登记簿进行登记调查,对有关病例资料进行归类和统计。结果在内科门诊就诊的1726例患者中,639例(37.0%)为躯体疾病,324例(18.8%)为心理障碍,763例(44.2%)为心身反应疾病。763例心身反应疾病患者在原发病治疗基础上,进行认知心理治疗及放松训练,效果良好;324例心理障碍患者中,295例躯体化障碍患者进行认知心理治疗及对症治疗,症状明显减轻;29例有抑郁和焦虑症状的患者,治疗上给予抗抑郁、焦虑药物应用及心理疏导治疗,疗效较好。结论综合医院临床医生在关注患者躯体症状的同时要考虑其是否存在心理精神障碍,注意识别诊断,应从生物-心理-社会医学模式等多角度入手,以改善患者的精神健康水平,从而提高患者的生活质量。
Objective To observe and analyze the clinical manifestations of mental disorders and its relationship with somatic diseases in outpatients in general hospital and to analyze the effects of psychotherapy, antidepressants and anxiety drugs. Methods The outpatient registration list was used for registration and investigation, and the relevant case data were classified and statistically analyzed. Results Among the 1726 medical patients attending the internal medicine clinic, 639 (37.0%) had somatic diseases, 324 (18.8%) had mental disorders, and 763 (44.2%) had psychosomatic reactions. Among the 324 patients with psychiatric disorders, 295 patients with somatization disorders underwent cognitive psychotherapy and symptomatic treatment, and the symptoms were relieved. Among the patients with psychosomatic reaction, 763 patients with psychosomatic reactivity had cognitive psychotherapy and relaxation training on the basis of primary disease treatment. Twenty-nine patients with symptoms of depression and anxiety were treated with antidepressant, anxiety medication and psychological counseling. Conclusion The general hospital clinicians should pay attention to the physical symptoms of patients while considering their mental and mental disorders, pay attention to the diagnosis, should start from the bio-psycho-social medical model and other multi-angle to improve the patient’s mental health so as to improve the patient’s Quality of Life.