摘要
目的探讨2006~2018年度新兵精神疾病退兵鉴定的疾病谱特征及变化趋势,为军队精神卫生防治工作提供参考依据。方法收集2006~2018年度参加南部战区新兵精神疾病退兵鉴定的案例共2478例,其中退兵1606例(64.81%),无精神病872例(35.19%)。采用帕累托图分析了近13年来新兵精神疾病退兵鉴定的疾病构成情况。结果在新兵精神疾病退兵鉴定的疾病谱中,位列前七位的精神疾病分别是适应障碍、分离(转换)性障碍、精神分裂症、心境障碍、精神发育迟滞(轻度)、人格障碍、睡行症,占所有精神疾病的95.39%。近13年来,精神分裂症有下降的趋势,而适应障碍比例在增加。结论新兵精神卫生防治应以退兵鉴定疾病谱前七位的精神疾病为工作重点,特别是对心理应激水平较高的新兵,宜及早进行心理干预,预防应激相关障碍的发生。
Objective To investigate the disease spectrum and variation trend of the withdrawal recruits in military psychiatric expertise from 2006 to 2018,so as to provide evidence for the military mental health services.Methods A total of 2478 cases of the withdrawal recruits in military psychiatric expertise in Southern Theater Command,including 1606(64.81%)cases were withdrawn and 872(35.19%)cases were not psychosis.The disease composition of withdrawal recruits in military psychiatric expertise in the past 13 years were analyzed by Pareto diagram.Results The top seven types such as adjustment disorder,dissociative(conversion)disorder,schizophrenia,mood disorder,mental retardation(mild),personality disorder and sleep-walking,which account for 95.39%of all mental disorders among the disease spectrum identified of the withdrawal recruits.In the past 13 years,schizophrenia has been on a downward trend,while the proportion of adjustment disorder has been increasing.Conclusion The mental health services of recruits should focus on the top 7 mental disorders in the disease spectrum.Especially for the recruits with higher psychological stress,psychological intervention should be carried out early to prevent stressrelated disorders.
作者
罗维肖
李红政
孙志国
李逸鸿
刘小兵
汤文辉
杨永志
刘让华
LUO Weixiao;LI Hongzheng;SUN Zhiguo;LI Yihong;LIU Xiaobing;TANG Wenhui;YANG Yongzhi;LIU Ranghua(Guigang Medical District of NO.923 Hospital of Joint Logistics Support Force,Guigang Guangxi 537105,China)
出处
《华南国防医学杂志》
CAS
2020年第3期192-195,共4页
Military Medical Journal of South China
基金
全军心理卫生应用性重点建设项目(FYJ2015W01)
关键词
新兵
精神医学鉴定
疾病谱
Recruits
Psychiatric expertise
Disease spectrum
