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住院精神分裂症患者并发代谢综合征的影响因素 被引量:7

Prevalence of metabolic syndrome and its related factors in schizophrenic inpatients
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摘要 目的:了解住院精神分裂症患者代谢综合征的患病率及其相关因素。方法:对上海市普陀区精神卫生中心住院的精神分裂症患者作调查,测定其代谢指标,世界糖尿病联盟(IDF)全球统一标准定义代谢综合征。结果:共入组259人,其中男性153人(59.1%),女性106人(40.9%),平均年龄(52±9)岁(21~76岁)。住院精神分裂症患者代谢综合征的患病率为29.3%(76/259),女性的患病率(39.6%,42/106)与男性的患病率(22.2%,34/153)存在统计学差异(x2=9.144,P<0.05)。Logistic回归发现代谢综合征与性别、腰臀比、高尿酸血症、脂肪肝与精神分裂症患者伴发代谢综合征相关,为其危险因素。结论:在精神分裂症患者中存在较多的代谢综合征,尤其是女性肥胖患者,应及早予以关注。 Objective:To investigate the prevalence of Metabolic syndrome in schizophrenic inpatients and its relative factors. Methods :259 schizophrenic inpatients treated in Shanghai Putuo mental health center were investigated. Metabolic indexes were measured. The criteria of metabolic Syndrome were based on the consensus definition released by the International Diabetes Federation. Results: 153 male and 105 female patients [ mean age (52 ± 9) years ] were involved. The prevalence of metabolic syndrome was 29. 3%. It was higher in female than that in male patients (39.6% vs 22.2%, P 〈 0. 05 ). Metabolic syndrome was related with sex, hyperuricemia, fatty liver, WHR associated with schizophrenia is related to its risk factors; for protective factors in Logistic regression Analysis (P 〈 0.05 ). Conclusions: Metabolic syndrome occurred in many schizophrenic inpatients, especially females with obesity, much attention should be paid even in the early course of illness.
出处 《中国民康医学》 2012年第13期1549-1553,共5页 Medical Journal of Chinese People’s Health
关键词 精神分裂症 住院患者 代谢综合征 Schizophrenia Inpatients Metabolic syndrome
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