地震后受灾人群神经症发生状况的研究
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摘要
目的估评汶川大地震部分受灾人群灾后焦虑症、抑郁症和恐怖强迫症的发生状况。方法使用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)和Mark恐怖强迫量表(MSCPOR)对2008年5月—2009年1月成都周边地区神经内科门诊具有心理障碍的患者82例(观察组)进行他评分析,与2007年下半年地震前成都周边地区普通神经内科门诊无器质性损伤证据的、具有心理障碍的患者90例(对照组)进行相应的症状比较。结果观察组出现焦虑症56例(68.3%)、抑郁症48例(58.5%)、恐怖强迫症27例(32.9%);对照组分别为11例(12.2%)、9例(10.0%)和6例(6.7%),2组比较差异有统计学意义(P<0.05,P<0.01)。在神经症的发生率中,焦虑症占68.3%,比抑郁症和恐怖强迫症的发生率更高。结论汶川大地震后8个月内受灾人群神经症的发生率明显增加;焦虑症的发生率较高;同时出现焦虑、抑郁症状者较多。
Objective To investigation and evaluation the situation of anxiety,depression and phobia-obsessive disorder in earthquake-related injuries crowd after Wenchuan earthquake.Methods The Hamilton Anxiety Scale, Hamilton Depression Scale and Mark's Scale for phobia and obsessive-compulsive disorder were applied to evaluation the mental disorder of 82 patients(observe group),which came from Chengdu urban district and surroundings by the clinic in department of neurology from May 2008 to January 2009,and compared to 90 cases(control group) with the mental disorder from Chengdu urban district and surroundings by the clinic in department of neurology from July 2007 to December 2007.Results 56 cases(68.3%) of 82 cases with anxiety disorder,48 cases(58.5%) with depression disorder and 27 cases(32.9%) with phobia-obsessive disorder were diagnosed in observe group,while there were 11 cases(12.2%),9 cases(10.0%) and 6 cases(6.7%) in control group,there were significant difference of the occur rate on disorder between observe and control group(P<0.05,P<0.01).Anxiety held 68.3%in all neuroses,which was higher than occur rate of depression and phobia-obsessive disorder.Conclusion There are much more occur rate of the neuroses from patients in earthquake-related injuries in 8 months after Wenchuan earthquake. The occur rate of anxiety disorder and anxiety together with depression disorder are much more than others.
Objective To investigation and evaluation the situation of anxiety,depression and phobia-obsessive disorder in earthquake-related injuries crowd after Wenchuan earthquake.Methods The Hamilton Anxiety Scale, Hamilton Depression Scale and Mark's Scale for phobia and obsessive-compulsive disorder were applied to evaluation the mental disorder of 82 patients(observe group),which came from Chengdu urban district and surroundings by the clinic in department of neurology from May 2008 to January 2009,and compared to 90 cases(control group) with the mental disorder from Chengdu urban district and surroundings by the clinic in department of neurology from July 2007 to December 2007.Results 56 cases(68.3%) of 82 cases with anxiety disorder,48 cases(58.5%) with depression disorder and 27 cases(32.9%) with phobia-obsessive disorder were diagnosed in observe group,while there were 11 cases(12.2%),9 cases(10.0%) and 6 cases(6.7%) in control group,there were significant difference of the occur rate on disorder between observe and control group(P<0.05,P<0.01).Anxiety held 68.3%in all neuroses,which was higher than occur rate of depression and phobia-obsessive disorder.Conclusion There are much more occur rate of the neuroses from patients in earthquake-related injuries in 8 months after Wenchuan earthquake. The occur rate of anxiety disorder and anxiety together with depression disorder are much more than others.
引文
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3刘静,肖军,陈祥慧,等.地震对焦虑抑郁患者的影响[J].实用医院临床杂志,2009,6(1):55-56.
4王维治.神经病学[M].北京:人民卫生出版社,2006,1648-1649.
2王健,杨甫德,孙春云,等.地震后患者抑郁、焦虑及睡眠障碍发生状况的分析[J].中华内科杂志,2008,47(9):721-722.
3刘静,肖军,陈祥慧,等.地震对焦虑抑郁患者的影响[J].实用医院临床杂志,2009,6(1):55-56.
4王维治.神经病学[M].北京:人民卫生出版社,2006,1648-1649.
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