住院精神病患者合并肥胖及其相关影响因素研究

The study of concurrent obesity and related influencing factors in psychiatric inpatients

目的探讨住院精神病患者合并肥胖及其相关影响因素，为开展饮食干预的实验性研究提供依据。方法对1272例精神病患者的住院病历资料进行回顾性分析。结果本组患者肥胖率为9．3％，超重率为23．8％；患者出院时体质量指数较入院时显著升高（P〈0．01）。肥胖患者血脂异常、高血压病、糖尿病患病率均显著高于非肥胖患者（P〈0．01）；病程是肥胖发生的危险因素（P〈0．05）。结论精神病患者肥胖率高于一般人群，患者住院期间体质量有增加趋势，住院患者肥胖的发生与病程有关。

Objective To explore concurrent obesity and related influencing factors in psychiatric inpatients in order to provide basis for carrying out experimental study on diet intervention. Methods Case history data of 1,272 psychiatric inpatients were retrospectively analyzed. Results Obesity rate of the patients was 9.3% and overweight 23.8%; at discharge body mass index （BMI） of the patients heightened more significantly compared with admission （P〈0.01）. The morbidity rates of dyslipidemia, hypertensive disease and diabetes were significantly higher in patients with obesity than in ones without （P〈0.01）; course of disease was risk factor of obesity （P〈0.05）. Conclusion Obesity rate is higher in mental patients compared with general population, body masses during hospitalization have a tendency to increase, and inpatients＇ obesities are related to course of disease.