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[接受门诊治疗的中老年精神障碍患者的临床流行病学特征]

[Clinico-epidemiological characteristics of middle-aged and elderly patients with mental disorders receiving ambulatory care].

作者信息

Trifonov E G, Shchirina M G, Zozulia T V

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(9):37-41.

PMID:1664612
Abstract

A nonrandomized examination of 1,640 patients aged 60 years and over was carried out at the outpatient gerontologic department set up on the basis of the district psychoneurologic center. Among them, women were evidently dominant (71.8%). The ratio of borderline disorders to psychotic ones was 67 to 33%. Distribution according to the disease entities showed that over 1/3 of them suffered from schizophrenia. The later disease onset was recorded but in 17.1%. Vascular psychoses in the whole patients' group accounted for 28%. Besides, analysis of primary consultations was made. The number of patients who referred for medical aid amounted to 426. About half of them were patients aged 70 years and over. The data obtained support the necessity of the development of extra-hospital forms of gerontopsychiatry services.

摘要

在区精神神经中心设立的门诊老年病科,对1640名60岁及以上患者进行了非随机检查。其中女性明显占主导(71.8%)。边缘性障碍与精神病性障碍的比例为67%比33%。根据疾病种类分布显示,超过1/3的患者患有精神分裂症。记录到发病较晚的仅占17.1%。整个患者组中血管性精神病占28%。此外,还对初诊情况进行了分析。寻求医疗帮助的患者人数为426人。其中约一半是70岁及以上的患者。所获得的数据支持发展院外老年精神病学服务形式的必要性。

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