精神科住院患者猝死因素相关原因分析

The analysis of the cause of sudden death in patients with psychiatric diseases

目的探讨精神科住院患者猝死的相关因素,降低住院精神患者猝死发生率。方法对40例我院2007年1月～2012年12月符合猝死标准的住院精神病患者进行回顾性调查,并进行统计学分析。结果抗精神病药物使用患者38例,占95%,心电图异常改变有33例,占82.5%,有躯体疾病者23例,占57.5%,22例患者死亡前出现胃肠道反应和不适等反应,占55%。夜晚和白天猝死率有着显著性的差异(P<0.01)。结论患者的猝死与用药的情况、躯体变化、心电图改变、死亡时间等均有内在关系,应当引起医务人员的高度重视,及时给予有效的干预措施。

Objective To investigate the relative factors of sudden death in patients with psychiatric diseases and reduce its incidence. Methods 40 cases of sudden death in psychiatric patients were retrospectively analyzed from January 2007 to December 2012 in our hospital. Results The number of sudden death patients who were given antipsychotic drugs was 38 cases,accounting for 95%.The number of sudden death patients with electrocardiographic abnormality was 33 cases,accounting for 82.5%.The number of sudden death patients with somatic diseases was 23 cases,accounting for 57.5%.The number of sudden death patients with gastrointestinal reaction was 22 cases,accounting for 55.0%.There was significantly difference between the number of sudden death occurred in daylight and at nigh. Conclusion There is relationship between the patients＇ sudden death and the use of drugs,body changes,electrocardiographic abnormality,time of death,and so on.Medical workers should pay more attention and take effective prevention measures in time.