Objective:To explore the features of consultation-liaison psychiatry in geriatric inpatients.Method:One-year data of consultation-liaison in elderly inpatients in a general hospital were recorded and analyzed.Results:Total of 176 times of consultation were served for 100 patients,with the mean age of 87.At their admission,the patients had an average of 6 different diseases,and an average of four systems diseases involved.Patients who had taken psychiatric medicine before consultation were more in female than in male (64％ vs 36％,x2 =6.00,P =0.014).According to the diagnosis in consultation,58％ patients were thought to be suffering from neurocognitive disorder.For 32％ of the total 176 consultation,no psychotropic medication was thought to be in need.There was 45％ in the need of antipsychotics,38％ anxiolytics,and 25％ anti-depressant.Nearly one-third patients needed two or more consultations.There were 180 beds in all these wards,and the average times of consultation-liaison psychiatry service per 100 beds per week were 1.9.Conclusion:There are increasing needs for consultation-liaison psychiatry in geriatric wards from general hospital.Among the patients in the need of consultation,relatively high proportion was suffering from neurocogntive disorder,and high proportion needed psychotropic medication.%目的:了解综合医院老年住院患者精神医学联络会诊的特点. 方法:回顾性分析1年间老年科住院患者精神病学联络会诊资料,并分析. 结果:176例次精神科联络会诊对象共100例患者,平均87岁.住院时平均每位患者有6种诊断,人均患4个系统疾病.女性患者会诊前已使用精神药物的比例高于男性(64％比36％,x2=6.00,P=0.014).58％会诊诊断为神经认知障碍.176例次会诊中建议使用抗精神病药治疗为45％,抗焦虑药为38％,抗抑郁药物为25％,不建议药物治疗为32％.需要2次或更多次会诊者约占1/3.本调查中涉及病房总的开放床位180张,平均每100张床位每周精神科会诊数为1.9例次. 结论:综合医院老年住院患者中联络会诊的需求高,会诊患者中神经认知障碍的比例及需要用精神药物的患者比例高.
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