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目的 探讨会诊联络精神病学在综合医院的作用。方法 回顾性分析我院 1 3年1 2 56次会诊 ,分析其中申请会诊的科室、申请理由、精神障碍诊断处理、会诊医嘱的依从性和疗效。结果 邀请会诊的科室内科最多占 79% (包括传染科 ) ,脑器质性及躯体疾病伴发精神障碍占 40 % ,心身疾病伴忧郁焦虑或睡眠障碍占 31 % ,神经症等占 1 3.6%。发现心身疾病伴情绪障碍的比例在逐年增多。会诊医嘱总执行率达 98% ,治疗总有效率为 74%。结论 会诊 -联络精神病学在综合医院的应用有重要价值 ,对促进综合医院的发展及非精神科医生了解精神科知识和他们的知识互补有重要作用
Objective To explore the role of consultation and psychiatry in general hospitals. Methods A retrospective analysis of 122 consultations in our hospital for 13 years was conducted. We analyzed the departments in which the consultations were applied, the reason for the application, the diagnosis and treatment of mental disorders, and the compliance and efficacy of the consultations. Results Invited consultations consisted of up to 79% of the Department of Internal Medicine (including Infectious Diseases), cerebral organic and physical disorders accompanied by mental disorders 40%, psychosomatic disorders with depression or sleep disorders 31%, neurological disorders etc. 3.6% . The proportion of psychosomatic disorders associated with mood disorders has been increasing year by year. The total implementation rate of consultation doctors reached 98%, and the total effective rate of treatment was 74%. Conclusion Consultation - The application of Liaison Psychiatry in general hospitals is of great value. It plays an important role in promoting the development of general hospitals and in helping nonpsychologists understand psychiatric knowledge and complement their knowledge.