精神疾病患者合并躯体疾病的诊治策略

Diagnosis and treatment of psychotic patients complicated with physical diseases.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(2)
作者
作者单位

汕头市第四人民医院 ;

摘要
目的 探讨精神疾病患者合并躯体疾病的特点及诊治方法。方法 对351例精神疾病合并躯体疾病患者的临床资料进行回顾性分析。结果 351例患者都能及时得到确诊和治疗;有249例痊愈,3例死亡,99例在出院后还需服用躯体疾病治疗药物。对这99例患者随访1年,12例失访,78例病情稳定,9例因服药不规范而复发。结论 精神疾病患者合并躯体疾病的诊治需要运用一些技巧,治疗上更要注意避免药物间的相互作用和精神科药物对躯体疾病的影响。
Abstract
Objective To explore the clinical characteristics,diagnosisandtreatment of psychoticpatients com- ,diagnosisandtreatment of psychoticpatients com- diagnosis and treatment of psychotic patients com-plicated with physical diseases,andtosumupclinicalexperience. ,andtosumupclinicalexperience. and to sum up clinical experience. Methods Clinical data of 351 psychotic patients com-plicated with physical diseases were reviewed. Results All of 351 patients were diagnosed on time. There were 249 patientscured,99patientsmustContinuetotakephysicaldrugsafterdischarge. Therewere3patientsdied.Ofpatientstocontinue ,99patientsmustContinuetotakephysicaldrugsafterdischarge. Therewere3patientsdied.Ofpatientstocontinue 99 patients must Continue to take physical drugs after discharge. There were 3 patients died.Of patients to continueto follow-up for 1 year.78 patients in stable condition,9casesofrecurrenceformedicationisirregular. ,9casesofrecurrenceformedicationisirregular. 9 cases of recurrence for medication is irregular. Conclusion It’sdifficulty to diagnosis and treat a psychotic patient complicated with physical diseases. It,s necessary to use some skills at the same time also pay attention to drug interactions and antipsychotic drugs to the influence of physical disease.
关键词
精神疾病患者;合并;躯体疾病;诊治
KeyWord
Psychiatric patients;Complicated with;Physical diseases;Diagnosis and treatment
基金项目
页码 288-290
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郑晓人*,苏小帆,黄哲娟,佘晓娜. 精神疾病患者合并躯体疾病的诊治策略 [J]. 国际精神病学杂志. 2016; 43; (2). 288 - 290.

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