社区精神分裂症患者心电图异常的影响因素分析  

Analysis of the Influencing Factors of Abnormal Electrocardiogram in Community Schizophrenia Patients

作　　者：聂莲莲 耿倩影[2] 尹丹娟 刘娟 江雁 张金娟 Nie Lianlian;Geng Qianying;Yin Danjuan;Liu Juan;Jiang Yan;ZhangJinjuan(Zhujing Community Health Care Center,Shanghai 201599,China;Jinshan District Center for Disease Control and Prevention,Shanghai 201599,China)

机构地区：[1]上海市金山区朱泾社区卫生服务中心,上海201599 [2]上海市金山区疾病预防控制中心,上海201599

出　　处：《健康教育与健康促进》2024年第2期147-150,180,共5页Health Education and Health Promotion

摘　　要：目的分析社区精神分裂症患者心电图(ECG)异常的影响因素,为患者的心血管病防治提供科学依据。方法整群抽取2021年上海市金山区在免费体检时进行心电图(ECG)检查的社区精神分裂症患者共2191人进行问卷调查和健康体检。结果社区严重精神障碍患者中,ECG异常的占50.21%。多因素logistic回归分析显示:病程10年及以上、残疾、精神症状、第三代抗精神病药物、其他抗精神病药物、明显超重或肥胖、糖尿病是社区精神分裂症患者ECG异常的影响因素。结论社区精神分裂症患者ECG异常率较高。应根据相应影响因素针对性地开展不同形式的心血管疾病防治知识宣传和技能培训,同时应加强心电图检查从而防范心血管意外事件的发生。Objective To analyze the influencing factors of abnormal electrocardiogram(ECG)in community schizophrenia patients,provide the scientific basis for the prevention and treatment of cardiovascular diseases.Methods A total of 2191 schizophrenia patients who participated in electrocardiogram(ECG)examinations during the free physical examination of severe mental disorders in the Jinshan District community of Shanghai in 2021 were randomly selected for questionnaire survey and health examination.Results the proportion of patients with severe mental disorders in the community who had abnormal ECG was 50.21%.Multivariate logistic regression analysis showed that the disease duration of 10 years or more,disability,psychiatric symptoms,third-generation antipsychotics,other antipsychotics,obvious overweight or obesity,and diabetes were the influencing factors of ECG abnormalities in community schizophrenia patients.Conclusion Community schizophrenia patients have a higher rate of ECG abnormalities.Different forms of knowledge promotion and skill training on cardiovascular disease prevention and treatment should be carried out according to the corresponding influencing factors.At the same time,electrocardiogram examinations should be strengthened to prevent the occurrence of cardiovascular accidents.

关 键 词：社区精神分裂症患者 心电图异常 影响因素 健康教育 

分 类 号：R749.3[医药卫生—神经病学与精神病学]