长期住院精神病人骨折原因及预防对策  

An Analysis of the Reason of the Long Term Hospitalized Mental Patients with Fracture and Its Preventive Measure

作　　者：孙连军[1] 赵丰文[1] 赵丰戎[1] 

机构地区：[1]杭州市公安局安康医院,杭州311113

出　　处：《医学与社会》2010年第4期31-32,共2页Medicine and Society

摘　　要：目的:了解长期住院精神病人骨折发生的原因,提出预防对策。方法:对1997年10月至2009年9月期间在杭州市公安局安康医院住院且住院周期在3年以上,并在住院期间发生骨折的精神病人资料进行回顾性分析。结果:发生骨折共计68例。其中,50岁以上占70.59%;不慎跌倒占67.65%;下肢骨折占60.29%;服用氯丙嗪和/或氯氮平的占70.59%;日剂量大于或等于500mg的占63.23%;伴有骨质疏松的占41.18%;伴有肺结核、糖尿病的占36.76%。结论:长期住院精神病人中老年患者骨折发生率高,应引起高度重视。应针对发生骨折的原因,采取切实有效的预防措施,减少骨折发生。Objective：To analyse the reason of the long-term hospitalize mental patients with fracture and propose preventive measure.Method：We study the group who had been in Ankang Hospital more than 3 years from October 1997 to september 2009.Data of the inpatient who had fracture,were retrospectively analyzed.Results：Sixty-eight inpatients had fracture.Oder than fifty years account for the proportion of 70.59%;the careless fall is 67.65%;the lower limb fracture is 60.29%;taking chlorpromazine or clozapine is 70.59%;ones whose dose was 500mg or more per day is 63.23%;the ost-eoporosis is 41.18%;Phthisic or Diabetes Mell-itus is 36.76%.Conclusion：Wrinkly and old folks had higher incidence of fracture,we should pay more attention to them.For the reason of fracture,we should take measures to decrease the occur of fracture.

关 键 词：长期住院精神病人 骨折 预防 

分 类 号：R473.74[医药卫生—护理学]