目的　了解社区精神病患病情况 ,为采取有效的防治和康复措施提供依据。方法　用线索调查的方法 ,从 1998年开始对广州市荔湾区华林街社区居民进行线索调查 ,诊断并确定精神病的类型 ,并进行病情随访记录和年度康复效果评估。结果　该社区精神病患病率为 6 6 6‰ ,其中精神分裂患者占比例最大为 6 6 9% ,发病高峰年龄在 10～ 39岁间 ,其次是精神发育迟缓占 2 8 0 % ,发病高峰年龄在 10岁以下。职业分布中以无职业人群患者比例最大占 6 6 7% ,其次是工人占 2 9 6 %。精神分裂患者以中学 (中专 )文化程度比例最大 ,占 76 2 % ;精神发育迟缓患者文盲比例最大 ,占5 4 7%。有效的社区康复措施能使精神病人的好转率达 74 6 %。结论　广州市荔湾区华林街社区精神病发病与职业、文化程度等因素有关。各部门通力合作 ,创造良好的社区生活和工作环境 ,是做好社区精防工作的关键 Objective To understand the prevalence of community psychosis and provide evidence for effective prevention and rehabilitation measures. Methods A clues investigation method was used to carry out a clues investigation to community residents of Waring Street in Liwan District of Guangzhou since 1998 to diagnose and determine the type of mental illness and record the disease follow - up records and evaluate the annual rehabilitation effect. Results The prevalence of psychosis in this community was 666 ‰, with the highest proportion of schizophrenic patients being 69.9%, the peak age of onset being between 10 and 39 years old, followed by mental retardation of 280%, the peak age of onset Under 10 years old. Occupational distribution of non-occupational population accounted for the largest proportion of 6 6 7%, followed by workers accounted for 296%. The proportion of schizophrenic patients with middle school (secondary) education was the highest, accounting for 76.2%. The proportion of illiterate patients with mental retardation was the highest, accounting for 54.7%. Effective community-based rehabilitation measures can improve the rate of mental patients by 74.6%. Conclusions The incidence of mental illness in Hualin Street in Liwan District of Guangzhou City is related to occupational and educational level. All departments work together to create a good community life and work environment, which is the key to doing a good job in the community