精神科住院患者的死亡相关因素分析

目的探讨精神科住院患者死亡的相关因素。方法选取2004年1月1日～2010年12月30日在本院住院治疗过程中发生死亡的21例精神病患者作为死亡组，在同期有病重情况（随访仍存活）的33例住院精神病患者中。按性别、患者来源性质（是否为流浪精神病患者）进行l：1匹配，并随机选取21例作为对照组，对两组资料进行比较。结果两组在氯丙嗪的使用、营养不良症、死因（病重原因）为呼吸循环系统疾病、有无会诊等方面差异具有统计学意义，而在入院心电图异常、饮食差、合并有2种以上的躯体疾病、死亡时间、治疗有缺陷等方面差异具有显著统计学意义。结论饮食差、服用氯丙嗪、合并呼吸循环系统疾病、未采用联络会诊等是精神科患者发生死亡的重要相关因素，临床上应重视相关因素的处理。

Relative risk factors of death in psychiatric inpatients

Objective To explore relative risk factors of death among psychiatric inpatients.Methods 21 psychiatric inpatients who dyed in Shenzhen Kangning Hospital from 2004 to 2010 were as the death group.21 psychiatric inpatients with the serious diseases in the same period were as the controled group,matched(1:1) for the sex and vagrant patient or not.Results There were statistical significances between two groups in the use of chlorpromazine,the malnutrition,the serious respiratory or circulatory system diseases,the consultation liaison,the abnormal ECG,the bad eating,the death time,defects of treatment and more than two kinds of somatic diseases.Conclusion The bad eating,the use of chlorpromazine,the serious respiratory or circulatory system diseases and the consultation liaison may be the risk factors of death in psychiatric inpatient.It was suggested we should pay great attention to deal with them.