上海市某社区重性精神疾病患者体检情况

Physical examination results of patients with severe mental illness in a community of Shanghai

目的探讨上海市金山区朱泾镇社区目前在册的重性精神疾病患者的身体状况,早期发现患者的躯体疾病,了解抗精神病类药物对患者的影响,以便及时采取治疗和相应的防控措施。方法对该社区目前在册管理的重性精神疾病患者进行健康检查,分析重性精神疾病患者身体状况。结果免费检查患者484人,男性236人(48.76%),女性248人(51.24%);患者空腹血糖、血压、甘油三酯、总胆固醇、丙氨酸氨基转移酶和心电图异常率分别为27.07%、38.22%、17.15%、30.79%、28.10%和26.65%,肥胖率为12.19%。血压异常患者,以≥60岁年龄组中最常见,为47.45%;肥胖患者中,<45岁年龄组发生率最高,为18.38%;甘油三酯和总胆固醇异常,以45~<60岁年龄组患者检出率最高,分别为21.05%和36.84%;未服药患者肥胖率(35.29%)高于使用药物治疗者(χ2=6.69,P<0.01);用药时间≥30 a患者血压异常率最高,为47.06%。结论重性精神疾病患者空腹血糖、血压异常率高于正常人群,应加强重性精神疾病患者糖尿病和高血压防治知识宣传,适当控制其体重。

[ Objective ] To explore the current physical condition of registered patients with severe mental illness in Zhujing Town of Jinshan District of Shanghai, early detect the patientsI somatic diseases, understand the impact of anti-psychotic drugs to patients, and take timely and appropriate treatment and control measures. [Methods ] The physical examination was performed in registered patients with severe mental illness in this community, to analyze their physical conditions. [ Results ] Totally 484 patients received the free medical examination,including 236 （48.76%） males and 248 （51.24%） females. The abnormal rate of fasting blood glucose,blood pressure,triglycerides,total cholesterol, alanine aminotransferase and electrocardiogram was respec- tively 27.07%, 38.22%, 17.15% ,30.79%, 28.10% and 26.65%, and the obesity rate was 12.19%. The abnormal rate of blood pressure in patients over 60 years old was the highest,which was 47.45%. The obesity rate in patients below 45 years old was the highest,which was 18.38%. The abnormal rate of triglycerides and total cholesterol in patients aged 45-60 years old was the highest,which was 21.05% and 36.84% respectively. The obesity rate in patients without medication （35.29%） was s higher than that in patients treated with drugs （χ^2=-6.69,P〈0.05）, and the abnormal rate of blood pressure in those were treated with drugs over 30 years was the highest （47.06%）. [ Conclusion ] The abnormal rates of fasting blood glucose and blood pressure in patients with severe mental illness are higher than those in the normal population. It is necessary to strengthen publicity about diabetes and hypertension prevention knowledge among those famihes have patients with severe mental illness, and control patients; weight properly.