海南省长期住院精神病患者血糖血脂代谢异常分析

目的分析长期住院精神病患者血糖血脂代谢异常发生率在精神病人群中的分布情况,为临床治疗患者提供依据。方法收集2017-2018年海南省安宁医院的住院3个月以上精神病患者临床和血糖、血脂检测资料,并进行统计学分析。结果共收集4 172例病程1年,住院3个月以上精神病患者临床和血糖、血脂检测完整资料,血糖、血脂及合并血糖血脂异常率分别为12.94%、53.74%、9.11%,且三者均随着年龄增加呈现递增趋势(P<0.01);不同性别间,血糖以及合并血糖、血脂异常率差异无统计学意义(P>0.05),血脂异常率男性高于女性(P<0.01);住院3~<6个月和≥6个月精神病患者,三项指标异常率差异均有统计学意义(P<0.01);器质性精神障碍和抑郁症患者血糖异常发生率较高,分别为21.68%和16.96%,广泛性焦虑症患者血脂异常发生率最高,为63.45%,精神发育迟滞患者糖脂异常发生率最低,分别为0.00%、26.92%。结论临床医生在治疗精神疾患时应考虑性别、年龄以及诊断等因素,合理使用抗精神病类药物,同时限制高脂肪、能量饮食,指导或督促病人增加活动也应成为今后精神患者治疗工作的重要部分。

Blood glucose,lipid metabolic abnormalities analysis of long-term hospitalized psychiatric patients in Hainan

Objective To analyze the incidence and distribution of abnormal blood glucose and lipid metabolism in patients with long-term hospitalized psychiatric illness, and to provide evidence for clinical treatment of patients. Methods Select the long-term hospitalized with above 3 months psychiatric patients of Anning Hospital of Hainan Province for 2017-2018, to measure and analyze blood glucose and blood lipid level. Results Clinical and blood glucose, lipid test data of 4 172 psychiatric patients hospitalized for more than 3 months were collected. The blood glucose, blood lipid abnormal rate, and blood glucose and lipid abnormal rate were 12.94%, 53.74%, and 9.11%, respectively, and all three abnormalities showed an increasing trend with the increase of age (P<0.01);Gender comparison, there was no statistical difference in the abnormal rates of blood glucose group, blood glucose and lipid group (P>0.05), the rate of abnormal blood lipid in men was higher than in women (P<0.01); psychiatric patients hospitalized for 3-<6 months and above 6 months, the abnormal rates of the three tests showed statistical differences in the comparison of duration of hospitalization (P<0.01); the abnormal rate of organic mental disorder and depression was higher in the blood glucose group (21.68%;16.96%), patients with generalized anxiety disorder had the highest incidence of abnormalities in the lipid group (63.45%), patients with mental retardation had the lowest incidence of abnormal blood glucose and blood lipid (0.00%; 26.92%). Conclusion Clinicians should consider gender, age, and diagnosis when treating mental disorders, rational use of antipsychotic drugs, at the same time, limit high fat, energy diet, guidance or urge patients to increase activity should also become an important part of the future work of mental patients.