绍兴市某医院重症精神病共病高血压现状调查及危险因素分析  

Investigation and analysis of the status quo and risk factors of hypertension with severe mental illness in a hospital in Shaoxing City

作　　者：王海燕 王玲英 贺曦 WANG Haiyan;WANG Lingying;HE Xi(Shaoxing Seventh People’s Hospital,Shaoxing,Zhejiang 312000,China)

机构地区：[1]绍兴市第七人民医院,浙江绍兴312000

出　　处：《中国公共卫生管理》2023年第3期413-416,共4页Chinese Journal of Public Health Management

摘　　要：目的分析重症精神病(Severe Mental Illness,SMI)共病高血压的危险因素。方法选取医院2019年1月—2021年12月建档的248例SMI患者,根据是否符合高血压疾病诊断标准分为共病组与非共病组,分析危险因素。结果选取的248例SMI患者中,共病高血压疾病59例,占比为23.8%;与非共病组相比,共病组患者年龄、文化程度、吸烟率、饮酒率、血常规异常率、肝功能异常率、肾功能异常率、血脂异常率、BMI、服用抗精神药≥2种占比均明显较高,差异有统计学意义(P<0.05)。多因素logistic回归分析结果显示,SMI共病高血压疾病的危险因素主要包括年龄、吸烟、BMI、血脂异常、肝功能异常及服用≥2种精神病药物。结论对SMI共患高血压患者进行危险因素分析,有助于临床早期预防。Objective To analyze the risk factors of comorbid hypertension in patients with Severe Mental Illness(SMI).Methods A total of 248 patients with SMI in the hospital from January,2019 to December,2021 were selected,and divided into comorbidity group and non-comorbidity group according to whether they met the diagnostic criteria of hypertension,and the risk factors were analyzed.Results Among selected 248 SMI patients,there were 59 patients with comorbid hypertension,accounting for 23.8%.Compared with the non-comorbidity group,the age,education background,smoking rate,drinking rate,abnormal blood routine rate,the rate of abnormal renal function,the rate of dyslipidemia,BMI,and the rate of taking antipsychotics≥2 of the patients in the comorbidity group was higher,with statistically significant difference(P<0.05).Multivariate logistic regression analysis showed that the independent risk factors of SMI comorbidities of hypertension mainly included age,smoking,BMI,dyslipidemia,abnormal liver function and taking≥2 antipsychotics were the risk factors of SMI comorbidities of hypertension.Conclusion The risk factor analysis of SMI comorbid hypertension patients is helpful for early clinical prevention.

关 键 词：重症精神疾病 高血压 危险因素 

分 类 号：R587.1[医药卫生—内分泌] R544.1[医药卫生—内科学]