世界中医药

目的：调查北京市某三级综合医院针灸科门诊患者中焦虑抑郁发生情况。方法：采用Zong焦虑量表（SAS）及抑郁量表（SDS）对门诊初诊患者进行筛查。粗分≥40的患者采用汉密尔顿抑郁量表17（HAMD17）、汉密尔顿焦虑量表（HAMA）进一步评估，并参照国际疾病分类第十版（ICD-10）关于焦虑、抑郁的诊断标准作出诊断。结果：筛查了针灸科门诊患者325例，男106例，女219例，焦虑抑郁障碍患病率为34.77%，其中女性患病率24%，男性患病率10.77%，女性明显高于男性。筛查为阳性的患者中，年龄≥40岁的占71.68%。结论：综合医院针灸科门诊就诊患者中焦虑抑郁障碍患病率较高，多数患者以疼痛等躯体不适就诊，易造成误诊漏诊。因此，应引起针灸科医师的重视，针灸科医师需要进行精神病基本常识培训，提高对相关疾病的识别率和治疗水平。

English Summary:

To investigate the prevalence rate of anxiety and depression among outpatients in the department of Acupuncture and Moxibustion in a 3A grade general hospital in Beijing. Methods:All the first-visit-outpatients were tested with Zung’s Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS). Outpatients of the group, of whose initial scores ≥40, were tested further with the 17-item Hamilton Depression Scale (HAMD17) and the Hamilton Anxiety Scale(HAMA). And the diagnoses were made according to the 10th edition of International Classification of Disease Criteria (ICD10). Results: Among 325 cases, 106 cases were male and 219 cases were female, disease rate of anxiety and depression disorder accounted for 34.77%, female accounted for 24% and male accounted for10.77% in the category of sex. The Prevalence rate in female is significantly higher than that in male. People who are aged 40 and over accounts for 71.68 % among outpatients screened positive.Conclusion: There is a higher prevalence of anxiety and depression disorder among outpatients in the department of Acupuncture and Moxibustion in general hospital. Most patients are complained of physical malaise which easily resulted in a misdiagnosis, more attention and training on basic knowledge of psychosis should be paid to doctors of department of Acupuncture and Moxibustion, so as to improve their ability of diagnosis and treatment.

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