Ouedraogo A, Ouedraogo T L, Traore A, Sawadogo G, Nebie K, Yougbare J M
CHU Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
Encephale. 2006 Jul-Aug;32(4 Pt 1):437-43. doi: 10.1016/s0013-7006(06)76184-x.
Mental disorders constitute an important portion of the world sickness ratio. In developing countries, in the absence of data on morbidity, hospital statistics are worthy of interest. Our study was carried out on a population of patients under care in the department of psychiatry of the Ouagadougou Hospital between January 1st 1990 and December 31st 2000, a period of 11 years. For each patient, we noted the sociodemographical features and the clinical diagnosis referring to the ICD-10 of the WHO. Within the scope of the study, 7 313 patients (60% men and 40% women) were analysed. The average age of the patients was 31.06 +/- 13.07 years. Among these patients, 80.60% had been exclusively under ambulatory care and 19.40% had been hospitalized at least once. The main categories of the available diagnoses were listed according to recurrence: acute psychotic disorders (20.68%), schizophrenia (17.25%) and depression (15.13%). In the men, the main diagnosis was acute psychotic disorders, whereas depression came top of the list for women. In the present state of socio-economic and cultural development in Burkina Faso, we note that only very serious mental disorders and/or those who cannot obtain favourable response with the traditional care system, come to medical centers. Therefore, there is a need to investigate the population as a whole, and to assess their need for medical care in this domain.
精神障碍在全球疾病比例中占重要部分。在发展中国家,由于缺乏发病率数据,医院统计数据值得关注。我们的研究针对1990年1月1日至2000年12月31日这11年间瓦加杜古医院精神病科接受治疗的患者群体展开。对于每位患者,我们记录了社会人口学特征以及参照世界卫生组织ICD - 10的临床诊断。在研究范围内,分析了7313名患者(男性占60%,女性占40%)。患者的平均年龄为31.06 +/- 13.07岁。在这些患者中,80.60%仅接受门诊治疗,19.40%至少住院一次。根据复发情况列出了主要的可用诊断类别:急性精神病性障碍(20.68%)、精神分裂症(17.25%)和抑郁症(15.13%)。男性的主要诊断是急性精神病性障碍,而女性中抑郁症位居榜首。在布基纳法索目前的社会经济和文化发展状况下,我们注意到只有非常严重的精神障碍患者和/或那些在传统护理系统中无法获得良好疗效的患者才会前往医疗中心。因此,有必要对全体人群进行调查,并评估他们在这一领域的医疗需求。