精神病患者药源性性动力性肠梗阻患者临床特点及影像学分析

目的：探讨分析精神病患者药源性动力性肠梗阻患者的临床特点与影像学分析。方法：回顾性分析我院住院治疗的1263例精神病患者临床资料,其中发生药源性动力性肠梗阻患者52例,对比分析可能影响患者肠梗阻发生的相关因素并进行统计分析,此外,总结分析肠梗阻患者X线表现。结果：对可能影响肠梗阻发生的各因素进行单因素分析以及Logistic回归分析,结果显示,基础疾病、精神科用药、年龄、住院时间以及病程为影响患者肠梗阻发生的独立危险因素;经X线片诊断, 52例药源性动力性肠梗阻患者中,其中37例(71.15%)为不完全性肠梗阻,其余15例(28.85%)为完全性肠梗阻。结论：精神病患者药源性动力性肠梗阻的发生与患者性别、年龄、住院时间、既往腹部手术史、精神疾病病种、病程、精神科用药以及基础性疾病有关,根据患者影像学表现可分为不完全性肠梗阻以及完全性肠梗阻,临床上需根据患者的影像学表现进行早期诊断,采取早期治疗干预。

Clinical features and imaging analysis of patients with mental disorders due to drug-induced dynamic intestinal obstruction

Objective: To explore the clinical characteristics and imaging analysis of patients with drug-induced dynamic intestinal obstruction. Methods: retrospective analysis of 1263 cases of hospitalized patients with schizophrenia clinical data in patients with drug-induced intestinal obstruction patients including 52 cases, comparative analysis of possible factors related to patients with intestinal obstruction were analyzed, furthermore, summarize and analyze the X-ray manifestations of patients with intestinal obstruction. Results: the possible factors affecting intestinal obstruction were analyzed by univariate analysis and Logistic regression analysis showed that the underlying disease, psychiatric medication, age, hospitalization time and duration were independent risk factors for the occurrence of patients with intestinal obstruction. Diagnosis by x-ray, among 52 cases of intestinal obstruction, 37 cases (71.15%) were incomplete intestinal obstruction, and the other 15 cases (28.85%) were complete intestinal obstruction. Conclusion: the mental disease medicine source dynamic intestinal obstruction were associated with gender, age, hospitalization time, abdominal surgery history, disease, mental disease, psychiatric medication and basic diseases, according to patient imaging performance can be divided into incomplete intestinal obstruction and intestinal obstruction and clinical depending on the imaging findings of patients with early diagnosis, take early intervention.