重庆市沙坪坝区精神分裂症合并糖尿病患者疾病特征分析  

Analysis on disease characteristics in patients with schizophrenia complicating diabetes mellitus in Shapingba District of Chongqing City

作　　者：罗兴能 周文洁[2] 黄浩然 龙红 钟立[4] 颜英[5] LUO Xingneng;ZHOU Wenjie;HUANG Haoran;LONG Hong;ZHONG Li;YAN Ying(Director Office,Tuwan Community Health Service Center of Shapingba District,Chongqing 400030,China;Second Department of Public Health,Shapingba District Center for Disease Control and Prevention,Chongqing 400038,China;Department of Public Health,Tuwan Community Health Service Center of Shapingba District,Chongqing 400030,China;Health Management Center,First Affiliated Hospital,Chongqing Medically University,Chongqing 400016,China;Department of Disease Prevention and Control,Shapingba District Center for Disease Control and Prevention,Chongqing 400038,China)

机构地区：[1]重庆市沙坪坝区土湾社区卫生服务中心主任办公室,400030 [2]重庆市沙坪坝区疾病预防控制中心公共卫生二科,400038 [3]重庆市沙坪坝区土湾社区卫生服务中心公共卫生科,400030 [4]重庆医科大学附属第一医院健康管理中心,重庆400016 [5]重庆市沙坪坝区疾病预防控制中心疾病防制科,400038

出　　处：《现代医药卫生》2020年第2期177-179,共3页Journal of Modern Medicine & Health

基　　金：重庆市卫生健康委员会医学科研计划项目(2017ZBXM014);重庆市卫生健康委员会、重庆市科学技术局科卫联合医学科研项目(2019MSXM089)

摘　　要：目的分析重庆市沙坪坝区精神分裂症合并糖尿病患者的疾病特征。方法通过“国家严重精神障碍患者信息管理系统”导出2017年登记管理地址为重庆市沙坪坝区的精神分裂症患者2555例作为研究对象,分析其登记患病率、糖脂代谢、社区管理等情况。结果辖区精神分裂症患者中糖尿病登记患病率为5.17%(132/2555);患者年龄集中在40~<70岁,占79.55%(105/132);年龄越大糖尿病风险越高(χ^2趋势=4.22,P<0.05);患者平均空腹血糖(9.69±4.98)mmol/L,37.88%(50/132)的患者血糖控制满意(<7.0 mmol/L);69.70%(92/132)的患者纳入了糖尿病社区管理。结论重庆市沙坪坝区精神分裂症患者中糖尿病发现不足,需加大对老年患者等高危人群的发现力度,在健康管理中应更加注意精神卫生与躯体保健的结合。Objective To analyze the disease characteristics in the patients with schizophrenia complicating diabetes mellitus(DM)in Shapingba District of Chongqing City.Methods A total of 2555 cases of schizophrenia with the registration management address of Shapingba District of Chongqing City in 2017 derived from the National Information Management System for Patients With Severe Mental Disorders served as the study subjects.The situations such as the registered prevalence rate,glucolipid metabolism,community management,etc.were analyzed.Results The registered prevalence rate of DM among the schizophrenia patients in the area under administration was 5.17%(132/2555).The patient′s age was concentrated at 40-<70 years old,accounting for 79.55%(105/132),and the older the age,the higher the risk of DM(χ^2 trend=4.22,P<0.05).The average fasting blood glucose in the patients was(9.69±4.98)mmol/L and 37.88%(50/132)of the patients had satisfactory blood glucose control(<7.0 mmol/L).Only 69.70%(92/132)of the patients were taken into the DM community management.Conclusion The DM discovery among schizophrenia patients in Shapingba District is insufficient.The discovery efforts in the high risk population of elderly patients should be enhanced.The combination of mental health and physical health care should be paid attention to in the health management.

关 键 词：精神分裂症 糖尿病 血糖 疾病特征 

分 类 号：R749.3[医药卫生—神经病学与精神病学] R587.1[医药卫生—临床医学]