摘要
目的探讨酒精所致精神障碍患者的流行病学及临床特征。方法对2005年1月-2014年12月在攀枝花市第三人民医院诊断为酒精所致精神障碍/酒相关障碍(符合ICD-10诊断标准)的住院病历档案进行回顾性调查分析。结果 10年间共收治酒精所致精神障碍患者986例,住院构成比10年增长约1.5倍,男性961例(97.46%),女性25例(2.54%),男女比例约为38:1,平均发病年龄(46.16±11.92)岁;农民285例(28.9%),工人337例(34.2%),二者占酒精所致精神障碍住院患者的63.1%;病理分型中依赖综合症占33%,精神病性症状占48.1%;伴发躯体疾病中,肝损害142例(14.4%),心血管系统疾病121例(12.3%);平均初饮年龄(25.31±11.07)岁,平均嗜酒年限(21.08±10.91)年。结论酒精中毒导致的精神和躯体障碍逐渐增加,已是一个日趋严重的社会问题,应提倡早期干预,酒精所致精神障碍患者宜尽早戒酒。
Objective To explore the epidemiology and clinical features of patients with mental disorder due to use of alcohol.Methods The medical records of patients who were diagnosised with mental disorders due to use of alcohol / alcohol related disorders( ICD-10 diagnosis standard) were retrospective survey analysised in January 2005 to December 2014 in the No. 3 People's Hospital of Panzhihua. Results During the ten years,a total of 986 patients with mental disorders due to use of alcohol were treated and hospitalization constituent ratio of the patients grew about 1. 5 times. Among these patients,there were 961 male cases( 97. 46%) and 25 women cases( 2. 53%),the sex ratio was about 38: 1. The average age was( 46. 16 ± 11. 92). Distribution of professional,there were 285cases( 28. 9%) of farmers,337 cases( 34. 2%) of workers,the two kinds of professional accounted for 63. 1% of hospitalized patients with mental disorders due to use of alcohol. The dependence syndrome and psychotic symptoms accounted for 33% and48. 1%,respectively. There were 142 cases( 12. 3%) of hepatic lesion,and 121 cases( 14. 4%) of cardiovascular diseases. The first drinking age of the patients was( 25. 31 ± 11. 07) years old on average,and their mean duration of drinking was( 21. 08 ± 10. 91)years. Conclusion Mental and physical disorders caused by alcoholic intoxication is increasing gradually,which becomes a serious social problem. Early intervention should be promoted and patients with mental disorders due to use of alcohol should give up drinking as soon as possible.
出处
《四川精神卫生》
2016年第1期65-68,共4页
Sichuan Mental Health
关键词
酒精所致精神障碍
酒中毒
流行病学
Mental disorders due to use of alcohol
Alcoholic intoxication
Epidemiology
