【摘要】 目的了解流浪精神病患者精神疾病的种类及其伴发的传染性疾病流行病学特征、肇事肇祸的临床特征,为政府救助和科学管理提供依据。方法以2008-2014年南宁市社会福利医院救助的2 332例流浪精神病患者的病案资料为研究对象,并利用SPSS 20.0进行统计分析。结果 7年间南宁市流浪精神病患者2 332例,平均年龄(30.34(10.12)岁;区内患者比例63.7%,以2012年入院400人为最高占总比17.2%;精神疾病以精神分裂症(70.2%)为主;合并传染病患者361(15.5%)例,21~40岁年龄段患传染病比例较其他年龄段大;肇事肇祸患者742(31.8%)例,男性肇事肇祸发生率高于女性(P<0.05),外省患者肇事肇祸发生率高于本市的(P<0.001),离异患者肇事肇祸发生率高于已婚患者(P<0.05),活性物质所致精神障碍患者肇事肇祸发生率(54.4%)高于心境障碍患者肇事肇祸发生率(52.4%),高于精神分裂症患者肇事肇祸发生率(34.4%)(P<0.05)。结论精神分裂症是流浪精神病人的主要精神病种,传染性疾病发病率高,流浪精神病患者肇事肇祸发生率高,呼吁政府关注流浪精神病患者这一特殊群体的公共卫生问题,改善其生存条件,帮助其社会功能的恢复,维护社会安定和谐。更多还原

【Abstract】 Objective To understand the types of mental illness in homeless and the associated epidemiological characteristics such as infectious diseases and the clinical features of troublemaking,and to provide the basis for government relief and scientific management. Methods General information and medical record of 2 332 homeless psychiatric patients rescued by Nanning Municipal Social Welfare Hospital from 2008 to 2014 was collected,and SPSS 20. 0 software was used for statistical analysis. Results There were 2 332 cases of psychiatric patients during the 7 years in Nanning City,and the prevalence was 63. 7%. The average age was 30. 34 10. 12 years old. The admission rate of 17. 2%( 400/2 332) in 2012 was the highest. 70.2% of mental illness case was schizophrenia. Among all the patients,a total of 361 cases with the infectious disease were identified and the overall prevalence rate of infectious disease was 15. 5%. The age group of 21-40 years had a higher proportion of infectious diseases than other age groups. 2 332 cases of homelessness patients with a mental disorder were trouble-maker. The trouble-making rate in male was higher than that in female( P < 0. 05),and perpetrators in other provinces was more than in the local city( P < 0. 001),perpetrators in divorced patients was more than in married patients( P < 0. 05),perpetrators in patients caused by active substances( 54. 4%) was more than in patients caused mood disorders( 52. 4%),as well as more than in patients caused by schizophrenia 34. 4%( P < 0. 05). Conclusion Schizophrenia is the main mental illness in wandering mental patients,the incidence rate is high. Troublemaking mental patients have a high incidence of infectious diseases,Government should concern the public health problem caused by a special group of patients with mental disorders,and improve their living conditions to maintain social stability and harmony.更多还原