煤矿在职职工重性精神病调查研究.docVIP

煤矿在职职工重性精神病调查研究 【 】目的探讨枣矿集团在职职工重性精神病的患病 率和分布特点。方法2010年10-11月采用整群调查方法对 在职职工进行调查，使用行为异常人员线索调查问卷、重性 精神疾病线索调查登记表、个案管理服务记录手册等为主要 调查工具，以《中国精神障碍分类与诊断标准》第三版为诊 断工具。结果六种重性精神疾病的时点患病率为13. 18%。， 患病率自20岁以上随年龄增长呈显著上升趋势 x2=76. 865P^0. 01 x2=76. 865P^0. 01 排在前两位的是精神分裂症 （10.35%。）、双相情感性精神障碍（2.10%。），精神分裂症 占所有重性精神病人的78.52%，男性患病率略高于女性。精 神分裂症患者主要集中在30岁以上，而双相情感集中在40 岁以上。结论枣矿集团重性精神病人以精神分裂症最多， 患病率明显高于其它调查，应列为重点防治对象，重性精神 疾病的分布与治疗有其自身特点。 【关键词】煤矿在职职工重性精神病患病率流行病 学调查 R749 A 1⑻5-0515 （2011） 8-025-02 The analysis on the actue mental illness in the on-the-job workers ofCoal mine Xu JihuaXu Kaihua (Zaozhuang Coal Mining Group Co. Ltd. Dong jiao Hospital,Zaozhuang 277119,P. R. China) [Abstract jObjective To explore the prevalence rate and distribution characteristics in theon-the-job workers of ZaoZhuang coal mining group who have acute mental illness. Methods On-the-job workers were tested by the typical sampling method in October and November in 2010. The participants were tested with the unsual behavior researchers clues questionnaire, heavy nature of mental illness clues survey registration form, case management service record and so on,taking the third edition of “China classification and diagnosis standard” for diagnostic tool. Results The prevalence rate of six kinds of acute mental illness was 13. 18%o,which has a singnificant increase trend as age above 20 years old (X2=76. 865 P0. 01) . The top two is schizophrenia (10.35 %o) and dual phase affective disorders (2.10 %o).The 78.52% of all acute mental illness were schizophrenia,that male sick slightly higher than female. Patients with schizophrenia mainly concentrated in 30 years old or above, and two-way emotional disorders concentrated in 40 years old or above. Conclusion The schizophrenia whose prevalence rate was significantly higher than other survey were the most in the patients with heavy spirit schizophrenia of ZaoZhuang mining group. So they should be an important control object. The distribution and treatment of the actute mental