关键词: 心理门诊, 疾病谱, 儿童

Abstract: 【Objective】 To investigate the features of disease spectrum of children and juvenile psychological outpatient in general hospital, and to supply important theory basis of mental health work. 【Methods】 General information of 1 666 first-visit case files in Bayi Children's Hospital during 2001-2010 were statistically analyzed in terms of annual distribution tendency of case number, patients' age and sex. Disease-type was classified according to The International Statistical Classification of Diseases and Related Health Problems 10th Revision(ICD-10) based on the first diagnose, and the top 5 mono disease and proportions were screen out from two categories. 【Results】 170 cases(17.7% of the classificatory cases, 10.2% of total cases, the same below)of F32(depressive episode), 123 cases(12.8%,7.4%)of F98(behavioral and emotional disorders with onset usually occurring in childhood and adolescence), 116 cases(10.8%,7.0%)of F31(bipolar disorder), 104 cases(10.8%,6.2%)of F41(other anxiety disorders)and 100 cases(10.4%,6.0%)of F20(Schizophrenia)occupied the first 5 positions of mental and behavioral disorders; 133 cases(18.9%,8.0%)of depression, 112 cases(15.9%,6.7%)of anxiety, 87 cases(12.4%,5.2%)of problems of family, 81 cases(11.5%,4.9%)of study-weariness and 75 cases(10.7%,4.5%). Internet addiction occupied the first 5 positions of psychological problems. 【Conclusions】 The data of psychological outpatient increased significantly, 16～18 is high-risk population. Anxiety and Depression disorders are still most important work. Problem solving of interpersonal relationship and family is an effective way to reduce the incidence of psychological problems.

Key words: general hospital, psychological outpatient, disease spectrum