不同时期儿童精神科门诊初诊病人分析

目的 :探讨近 2 0年来儿童精神科门诊初诊的病种变化 ,就诊趋势 ,为儿童精神科门诊提供参考。方法 :查阅 1980、 1986、 1999年儿童 ( 3-15岁 )精神科门诊病历 ,做就诊人数、疾病分类统计。结果 :1、三个时期初诊就诊人数呈增长趋势 ,1980年 386人次 ,1986年 6 5 0人次 ,1999年 1198人次。疾病分布以儿童多动症、精神发育迟滞、待诊、癫痫、精神分裂症、抽动障碍、情绪障碍为主要病种共涉及 36个诊断。 2、 1986年出现新的症状诊断 :智力边缘状。 3、 1999年咨询病人增多 ,占初诊的 2 4 70 %。 4、孤独症成为 1999年的初诊首位病种 ,占 17 30 %。结论 :儿童精神卫生的需求在提高 ,应针对此需求做出相应的调整。

Shift of Diagnostic Spectrum in Child Psychiatric Out clinic during 20 years

Objective: To study the diagnostic change in child psychiatric outclinic during recent 20 years. Method: Outclinic case histories of 1980, 1986 and 1999 were collected as our sample. Statistic involved number of outclinic consultation and their diagnoses. Results: In 1980, the total number of child psychiatric outpatients was 386 person/time. That of 1986 was 650 and of 1999 was 1198. In 1980, appeared diagnoses included: ADHD, mental retardation, pending, epilepsy, schizophrenia, tic disorder, mood disorder. Totally, there were 36 diagnostic entities. After 1986, some new diagnoses appeared such as marginal intelligence. Since 1999, consultation without a diagnosis increased (24.7% of all first contact with hospital). Child autism became the commonest diagnosis in outclinic (17.3%). Conclusion: Need for child mental health is increasing and our service model will adjust itself for this situation.