国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
14期
2097-2100
,共4页
住院精神分裂症%腹部B超%相关因素%体重
住院精神分裂癥%腹部B超%相關因素%體重
주원정신분렬증%복부B초%상관인소%체중
Hospitalized schizophrenia%Abdominal B ultrasound%Relevant factors%Weight
目的 探讨住院精神分裂症患者腹部B超检查结果的异常情况及其相关因素.方法 采用自编的调查量表对我院住院的499例精神分裂症患者进行腹部B超检查和一般情况调查,并对腹部B超检查的阳性结果及其临床相关因素进行分析.结果 腹部B超检查阳性194例(38.9％),其中肝胆异常176例(35.3％),占总阳性率的90.7％,脂肪肝111例(22.2％),占总阳性率的57.2％,肝胆结石57例(11.4％),占总阳性率的29.4％.腹部B超阳性结果的患者中精神分裂症Ⅰ型、年龄大、高体重、服药时间和住院时间长的比例高于腹部B超结果阴性的患者(P＜0.05).相关分析显示:腹部B超的阳性率与精神分裂症Ⅰ型、年龄、体重、服药时间和住院时间呈正相关(r=0.111,0.121,0.274,0.099,0.134;P＜ 0.05).进一步Logistic回归分析显示:年龄每增加1岁,腹部B超阳性的发生率增加3.6％(OR:1.036; 95％CI:1.014-1.058;P=0.001);体重每增加1 kg,腹部B超阳性的发生率增加6.0％(OR:1.060,95％CI:1.040-1.080;P＜0.001).结论 年老、肥胖是住院精神分裂症患者腹部B超阳性率高的相关危险因素,值得临床重视.
目的 探討住院精神分裂癥患者腹部B超檢查結果的異常情況及其相關因素.方法 採用自編的調查量錶對我院住院的499例精神分裂癥患者進行腹部B超檢查和一般情況調查,併對腹部B超檢查的暘性結果及其臨床相關因素進行分析.結果 腹部B超檢查暘性194例(38.9％),其中肝膽異常176例(35.3％),佔總暘性率的90.7％,脂肪肝111例(22.2％),佔總暘性率的57.2％,肝膽結石57例(11.4％),佔總暘性率的29.4％.腹部B超暘性結果的患者中精神分裂癥Ⅰ型、年齡大、高體重、服藥時間和住院時間長的比例高于腹部B超結果陰性的患者(P＜0.05).相關分析顯示:腹部B超的暘性率與精神分裂癥Ⅰ型、年齡、體重、服藥時間和住院時間呈正相關(r=0.111,0.121,0.274,0.099,0.134;P＜ 0.05).進一步Logistic迴歸分析顯示:年齡每增加1歲,腹部B超暘性的髮生率增加3.6％(OR:1.036; 95％CI:1.014-1.058;P=0.001);體重每增加1 kg,腹部B超暘性的髮生率增加6.0％(OR:1.060,95％CI:1.040-1.080;P＜0.001).結論 年老、肥胖是住院精神分裂癥患者腹部B超暘性率高的相關危險因素,值得臨床重視.
목적 탐토주원정신분렬증환자복부B초검사결과적이상정황급기상관인소.방법 채용자편적조사량표대아원주원적499례정신분렬증환자진행복부B초검사화일반정황조사,병대복부B초검사적양성결과급기림상상관인소진행분석.결과 복부B초검사양성194례(38.9％),기중간담이상176례(35.3％),점총양성솔적90.7％,지방간111례(22.2％),점총양성솔적57.2％,간담결석57례(11.4％),점총양성솔적29.4％.복부B초양성결과적환자중정신분렬증Ⅰ형、년령대、고체중、복약시간화주원시간장적비례고우복부B초결과음성적환자(P＜0.05).상관분석현시:복부B초적양성솔여정신분렬증Ⅰ형、년령、체중、복약시간화주원시간정정상관(r=0.111,0.121,0.274,0.099,0.134;P＜ 0.05).진일보Logistic회귀분석현시:년령매증가1세,복부B초양성적발생솔증가3.6％(OR:1.036; 95％CI:1.014-1.058;P=0.001);체중매증가1 kg,복부B초양성적발생솔증가6.0％(OR:1.060,95％CI:1.040-1.080;P＜0.001).결론 년로、비반시주원정신분렬증환자복부B초양성솔고적상관위험인소,치득림상중시.
Objective To probe into the abnormal situation and related factors about the abdominal B ultrasound of hospitalized schizophrenia patients.Methods Using the self-made survey scale to make a general investigation and a research on abdominal B ultrasound of 499 cases of schizophrenia patients in our hospital,and analyze the positive results of abdominal ultrasound examination and its related clinical factors.Results In the abdominal ultrasound examination,194 cases were positive (38.9％).Among them,176 cases belonged to liver abnormalities (35.3％),accounting for 90.7％ of the total positive rate,111 cases were those who had fatty liver(22.2％),accounting for 57.2％ of the total positive rate,57 cases were the calculi of liver and gallbladder (11.4％),accounting for 29.4％ of the total positive rate.The positive results about the abdominal B ultrasound of patients showed that the ratio was higher than the negative result in schizophrenia Ⅰ type,old age,high bodyweight,the time of taking drug and the length of hospital stay (P＜0.05).Correlation analysis also showed that the positive rate of abdominal ultrasound with schizophrenia Ⅰ type,age,weight,the time of taking drug and length of hospital stay were positively correlated (r=0.111,0.121,0.274,0.099,0.134; P＜0.05).Further Logistic regression analysis showed that age,every increase 1 year,the incidence of abdominal B exceeded to a positive 3.6％ increase (OR=1.036; 95％ CI:1.014 1.058; P=-0.001) ; every increase 1 kg weight,abdominal B exceeded to a 6.0％ increase in the incidence of positive (OR=1.060; 95％ CI:1.040 1.080;P＜0.001).Conclusion For hospitalized schizophrenia patients,old age and obesity are the related risk factors for high positive rate of abdominal B.Such conclusion should be worthy to call clinical attention.
