摘要
目的 分析 135例青壮年精神分裂症患者长期住院后出现的躯体症状及影响。方法 在长期住院青壮年病人中进行体格检查 ,心电图、B超、血糖、胆固醇、甘油三酯等生化检验 ,同时与门诊组病人对照。结果 在长期住院青壮年患者中 ,平均服药剂量大于门诊组 ,且体重均有明显增加 ,其中心电图异常者占 40 7%、脂肪肝占 2 0 7%、胆结石占 2 2 9%、血糖增高占 2 0 7%、血脂增高占 31 9% ,与门诊对照组相比 ,有极显著差异 (P<0 0 1) ,并且会消耗大量医药资源。结论 青壮年患者长期住院不但易造成精神衰退 ,生活疏懒 ,同时还易合并躯体症状 ,浪费卫生资源 ,应加强对长期住院病人“非住院化”治疗 ,合理减少药物剂量以及院内文体康复治疗 ,以减少精神衰退及并发躯体疾病。
Objective To analyse the physical symptoms and effect on 135 cases of long-term inpatient adult schizophrenic patients.Methods To carry out such items of physical examinations as electrocardiogram,Bultrosonic diagnosis,blood sugar,blood cholesterol and triglyceride on the patients.Meanwhile,to carry out comparisons with clinical patients.Results Among the long-term inpatients,the average dosage was larger than that of clinical patients.There was evident increase in body weight.The percentage of abnormal electrocardiogram was 40 7%;fatty liver 20 7%;gallstones 22 9%;increase in blood sugar 20 7%;increase in blood lipid 31 9%.Compared with the results of clinical patients,there was an evldent discrepancy(P<0 01).Meanwhile,the in-house patients consume large amounts of medical resources.Conclusion If institutionalized too Long,adult patients will develop into mental deterioration and dementia,and they will have physical complications,all of which will inevitably result in waste of medical resources.Therefore,“non-hospitalization”treatment of long-term inpatients and in house treatment by means of physical exercise and reducing medication dosage should be strengthened,so as to reduce mental deterioration and physical complications.
出处
《中国全科医学》
CAS
CSCD
2000年第4期298-300,共3页
Chinese General Practice
关键词
精神分裂症
青壮年患者
长期住院
躯体疾病
Schizophrenia Adult patients Long-term hospitalization Physical disease Hygienic economy
