精神病患者心电图危急值分布状况和危险因素分析  

Analysis on Distribution and Risk Factors of Electrocardiogram Critical Value in Psychiatric Patients

作　　者：成果 周锦泉[2] 王丽丽[3] 吴亚涛[4] 董再文[5] CHENG Guo;ZHOU Jinquan;WANG Lili;WU Yatao;DONG Zaiwen(School of Public Health,Dali University,Dali 671000,Yunnan,China;Drug Dependence Department of Dali Second People’s Hospital,Dali 671000,Yunnan,China;Medical Record Department of Dali Second People’s Hospital,Dali 671000,Yunnan,China;Psychiatry Department of Dali Second People’s Hospital,Dali 671000,Yunnan,China)

机构地区：[1]大理大学公共卫生学院,云南大理671000 [2]大理州第二人民医院药物依赖科,云南大理671000 [3]大理州第二人民医院病案科,云南大理671000 [4]大理州第二人民医院精神科二病区,云南大理671000 [5]大理州第二人民医院精神科一病区,云南大理671000

出　　处：《中国药物滥用防治杂志》2024年第4期603-608,共6页Chinese Journal of Drug Abuse Prevention and Treatment

摘　　要：目的:探讨精神病患者心电图危急值的分布状况和危险因素。方法:回顾性分析近10年间某三甲精神专科医院精神病患者心电图危急值发生情况,总结心电图危急值报告在精神专科医院临床中的分布,采用单因素及多因素Logistic回归分析其危险因素。结果:2014年1月—2023年10月我院门诊共接诊了867184人,心电危急值报告13例,报告率为1.49/10万。共收治了住院精神病患者27839人,均进行了普通心电图检查,动态心电检查了10985人,心电图危急值一共发生623例,报告率为2.24%,以男性、老年组、精神科封闭病房、窦性心动过缓发生最多,报告时间集中于8~12点;排名前三位的病种是器质性精神障碍、使用酒精所致的精神和行为障碍、精神分裂症。Logistic回归分析显示,性别、年龄、封闭式病房为发生危急值的独立危险因素。结论:重视及加强危急值管理,及时处置和加强医患沟通,定期分析心电危急值数据可提高精神专科医院的医疗质量与安全,更好地服务于患者,保障精神病患者的生命安全。Objective:To investigate the distribution and risk factors of electrocardiogram critical value in psychiatric patients.Methods:The occurrence of electrocardiogram critical values in psychiatric patients in a tertiary psychiatric hospital in the past 10 years was retrospectively analyzed,and the distribution of electrocardiogram critical value reports in psychiatric hospitals was summarized.Univariate and multivariate logistic regression were used to analyze the risk factors.Results:From January 2014 to October 2023,a total of 867184 people were admitted to the outpatient department of our hospital,and 13 cases of electrocardiogram critical value were reported,with a reporting rate of 1.49/100000.A total of 27839 hospitalized psychiatric patients were admitted.All of them underwent general electrocardiogram examination,and 10985 patients underwent dynamic electrocardiogram examination.A total of 623 cases of electrocardiogram critical values occurred,with a reporting rate of 2.24%.The male,middle-aged and elderly age groups,psychiatric closed wards,and sinus bradycardia occurred the most,and the reporting time was concentrated at 8-12 o’clock;the top three diseases were organic mental disorders,mental and behavioral disorders caused by alcohol use,and schizophrenia.Logistic regression analysis showed that gender,age,and closed wards were independent risk factors for critical values.Conclusion:Paying attention to and strengthening the management of critical values,timely handling and strengthening doctor-patient communication,and regularly analyzing electrocardiogram critical value data can improve the medical quality and safety of psychiatric hospitals,better serve patients,and ensure the life safety of psychiatric patients.

关 键 词：心电图危急值 精神病 危险因素 24小时动态心电图 封闭式病房 

分 类 号：R749[医药卫生—神经病学与精神病学] R540.41[医药卫生—临床医学]