中西医结合诊疗在健忘与情绪管理障碍门诊中的应用OA
Application of integrated traditional Chinese and western medicine in a specialty clinic for forgetfulness and emotional management disorders
目的:为提高认知和情绪问题患者就诊效率和医师工作效率,上海中医药大学附属龙华医院和上海交通大学医学院附属精神卫生中心联合开展了健忘与情绪管理障碍中西医结合诊疗门诊,本文旨在探讨健忘与情绪管理障碍中西医结合诊疗门诊的临床价值,为未来开展更深入的机制研究与疗效验证提供重要的临床实践范本和前期数据支持. 方法:回顾性描述和分析2023年8月16日—2025年10月29日健忘与情绪管理障碍中西医结合诊疗门诊的门诊设置及就诊情况. 结果:健忘与情绪管理障碍中西医诊疗门诊共接诊540例患者,其中男性236例(43.70%),女性304例(56.30%);成年患者368例(68.15%),未成年患者172例(31.85%).患者复诊率为20.00%,患者总体满意率为89.45%.就诊病种最多为阿尔茨海默病(31.11%),其次为抑郁症(23.15%)、焦虑障碍(20.93%)和失眠障碍(11.48%),双向情感障碍(2.78%)和精神分裂症(3.15%)较少.采用中西医联合用药(57.59%)的患者最多,其次为单纯西药治疗(13.07%)和西药联合中药及心理治疗(11.67%). 结论:健忘与情绪管理障碍中西医结合诊疗门诊具有患者年龄分布广(6~89岁)、病种丰富、患者满意度高以及门诊量呈现平稳上升的特点.本研究通过整合中医的辨证论治和西医精神心理在生物-心理-社会医学模式下的应用实践,为同行提供了可复制的操作蓝本,对优化临床服务具有一定的参考价值.
Objective:To enhance the efficiency of medical visits for patients with cognitive and emotional issues and the productivity of physicians,Longhua Hospital,Shanghai University of Traditional Chinese Medicine and Mental Health Center Affiliated to Shanghai Jiao Tong University School of Medicine have jointly established an outpatient clinic for the integrated traditional Chinese and western medicine diagnosis and treatment of amnesia and emotional management disorders.This article aims to explore the clinical value of this outpatient clinic,providing important clinical practice templates and preliminary data support for future in-depth mechanistic research and efficacy verification. Methods:A retrospective descriptive analysis was conducted on the outpatient settings and visits to the outpatient clinic for amnesia and emotional management disorders treated with integrated traditional Chinese and western medicine from August 16,2023,to October 29,2025. Results:The outpatient clinic for amnesia and emotional management disorders treated with both traditional Chinese and western medicine received a total of 540 patients,including 236 males(43.70%)and 304 females(56.30%);368 adults(68.15%)and 172 minors(31.85%).The patient return visit rate was 20.00%,and the overall patient satisfaction rate was 89.45%.The most common disease treated was Alzheimer's disease(31.11%),followed by depression(23.15%),anxiety disorders(20.93%),and insomnia disorders(11.48%).Bipolar affective disorder(2.78%)and schizophrenia(3.15%)were less common.The most common treatment approach was the combination of traditional Chinese and western medicine(57.59%),followed by pure western medicine treatment(13.07%)and the combination of western medicine with traditional Chinese medicine and psychological therapy(11.67%). Conclusion:The outpatient clinic for amnesia and emotional management disorders treated with integrated traditional Chinese and western medicine features a wide age distribution of patients(6-89 years old),a variety of diseases,high patient satisfaction,and a steady increase in outpatient volume.This study provides a reproducible operational blueprint for peers by integrating the application of traditional Chinese medicine's syndrome differentiation and Western psychiatry within the bio-psycho-social medical model,offering valuable reference for optimizing clinical services.
徐靖雯;顾超;彭素芳;洪波;岳玲
上海中医药大学附属龙华医院特需科,上海 200032上海中医药大学附属龙华医院特需科,上海 200032上海交通大学医学院附属精神卫生中心老年科,上海 200030上海交通大学医学院附属精神卫生中心老年科,上海 200030上海交通大学医学院附属精神卫生中心老年科,上海 200030
健忘情绪管理障碍中西医结合诊疗门诊
ForgetfulnessEmotional management disordersIntegrated traditional Chinese and western medicine diagnosis and treatmentSpecialty clinic
《神经病学与神经康复学杂志》 2026 (2)
148-156,9
国家科技创新2030-脑科学与类脑智能重大项目(2022ZD0213100)National S&T Innovation 2030 Major Project on Brain Science and Brain-Inspired Intelligence(2022ZD0213100)
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