摘要目的 分析2017年全国严重精神障碍患者管理治疗情况,并与2014-2016年比较相关指标的变化.方法 采用描述性分析方法,对2011年8月1日至2017年12月31日全国及各省(自治区、直辖市)国家严重精神障碍信息系统使用情况以及患者登记、管理、治疗情况等进行分析.结果 截至2017年底,全国2 813个区县(98.56％,2 813/2 854)使用信息系统.全国在册患者5 806 352例,报告患病率0.424％(5 806 352/1 370 784 400);在管患者5 380 249例,管理率92.66％(5 380 249/5 806 352);规范管理患者4 346 103例,规范管理率74.85％(4 346 103/5 806 352);服药患者4 035 323例,服药率69.50％(4 035 323/5 806 352);规律服药患者2 012 074例,规律服药率34.65％(2 012 074/5 806 352);病情稳定患者3 924 101例,病情稳定率75.01％(3 924 101/5 231 235).病情稳定率与管理率、规范管理率、服药率、规律服药率呈正相关(r分别为0.614、0.800、0.550、0.614,均P＜0.05).与2016年相比,在册患者增加405 202例,管理率、规范管理率、服药率、规律服药率、病情稳定率分别增加2.42％、6.98％、22.69％、5.13％、6.33％.2017年登记的精神分裂症、偏执性精神病、分裂情感性精神病、双相情感障碍、癫痫所致精神障碍、精神发育迟滞伴发精神障碍患者未治期分别为3.28、4.25、2.78、2.85、4.95、14.31年,均短于2016年结论 2017年严重精神障碍患者信息系统覆盖范围继续扩大,登记患者人数持续增长,患者管理和服药水平有所提高,未治期持续缩短.

abstractsObjective To analyze the management and treatment situation for patients with psychosis in China in 2017,and to compare with those in 2014-2016,in order to provide a reference for policy making and services delivering.Methods Descriptive method was used to analyze the system usage,registration,management and treatment situation of the patients with psychosis based upon "China National Information System for Psychosis" in the national and all provincial databases (municipalities,autonomous regions),with the date traced from 1st August 2011 to 31st December 2017.Results By the end of 2017,the information system was adapted by 2813 districts/counties,accounting for 98.56％ of the total county-level administrative areas (2 813/2 854).5 806 352 patients were registered with registration rate of 0.424％ (5 806 352/1 370 784 400).In 2017,5 380 249 patients were provided with follow-up services by primary health care staffs with the management rate of 92.66％ (5 380 249/5 806 352).4 346 103 patients were followed up regularly,with the management rate of 74.85％ (4 346 103/5 806 352).Moreover,4 035 323 patients were treated by taking antipsychotics,with the medication-taking rate of 69.50％ (4 035 323/5 806 352),and 2 012 074 patients took medication regularly,with the regular medication-taking rate of 34.65％ (2 012 074/5 806 352);3 924 101 patients were in stable condition with the stabilisation rate of 75.01％ (3 924 101/5 231 235),which was positively correlated with follow-up rate,regular follow-up rate,medication-taking rate and regular medication-taking rate(r=0.614,0.800,0.550,0.614,all P＜0.05).Comparing with 2016,there were 405 202 more patients registered in 2017 and all indicators above were higher in 2017.Durations of untreated schizophrenia,bipolar disorder,delusional disorder,schizoaffective disorder,psychotic disorder with epilepsy,mental retardation with psychotic symptoms were 3.28,4.25,2.78,2.85,4.95,14.31 years respectively,all of which were shorter than 2016.Conclusion Services for patients with psychosis were significantly improved in 2017.The coverage of the information system was expanded.The number of registered patients was sustainably growing.Patient management and medicine-taking were also improved,and the duration of untreated psychosis was shortened.