住院精神分裂症患者糖耐量减低调查  

Investigation of impaired glucose tolerance in schizophrenic inpatients

作　　者：谢红涛[1] 孙莉[1] 赵辉[1] 张洪艳[1] 冯永林[1] 

机构地区：[1]上海市普陀区精神卫生中心,200065

出　　处：《临床精神医学杂志》2011年第4期274-276,共3页Journal of Clinical Psychiatry

摘　　要：目的:了解住院精神分裂症患者糖耐量减低(IGT)的发生率及其相关因素。方法:对上海市普陀区精神卫生中心住院的精神分裂症患者作调查,测定其代谢指标,IGT采用《中国2型糖尿病防治指南2007》诊断标准。结果:共入组286例,住院精神分裂症患者IGT的发生率为27.3%(78/286),男性为27.6%(53/192);女性为26.6%(25/94)。年龄、三酰甘油、收缩压、舒张压、是否服用氯氮平与IGT患病率有关(P<0.05)。Logistic回归发现三酰甘油、年龄及收缩压为IGT的患病危险因素。结论:住院精神分裂症患者中存在较高的IGT发生率,应予以关注。Objective：To investigate the occurrence of impaired glucose tolerance in schizophrenic inpatients and its relative factors.Method：286 schizophrenic inpatients treated in Shanghai Putuo Mental Health Center were investigated.Metabolic indexes were measured and diagnosed based on the criteria of impaired glucose tolerance of the Prevention of type 2 diabetes in China Guide 2007.Results：The impaired glucose tolerance rate in the total subjects,male and female patients was 27.3%（78/286）,27.6%（53/192） and 26.6%（25/94） respectively.Age,triglyceride,systolic blood pressure,diastolic blood pressure and clozapine use were correlated with the impaired glucose tderance（IGT） occurrence（P0.05）.Logistic regression analysis indicated that triglyceride,age and systolic blood pressure were risk factors for IGT.Conclusion：Impaired glucose tolerance occurs in many schizophrenic inpatients,which should be paid attention to.

关 键 词：精神分裂症 住院患者 糖耐量减低 

分 类 号：R749.3[医药卫生—神经病学与精神病学]