社区精神疾病患者血生化检查及其对攻击行为的影响研究

发布时间：2018-02-20 15:06

本文关键词： 精神障碍社区精神卫生服务血生化检查攻击影响因素分析　出处：《中国全科医学》2016年22期 　论文类型：期刊论文

【摘要】：目的检测社区精神疾病患者的血生化检查指标水平,并探讨其对攻击行为的影响。方法于2014年4—8月选取在北京市田村社区卫生服务中心、永定路社区卫生服务中心、万寿路社区卫生服务中心、玉渊潭社区卫生服务中心、八里庄社区卫生服务中心、方庄社区卫生服务中心、月坛社区卫生服务中心接受社区精神卫生服务的精神疾病患者193例。检测并记录其血生化检查指标,包括总胆固醇(TC)、三酰甘油(TG)、三碘甲状腺原氨酸(T_3)、甲状腺素(T_4)、促甲状腺激素(TSH)、睾酮(T)及血总皮质醇(F)。随访3个月,记录患者的攻击行为发生情况。结果共165例患者完成了随访,其中21例(12.7%)的TC高于参考范围,69例(41.8%)的TG高于参考范围,81例(49.1%)的T高于参考范围。共10例(6.1%)患者发生了攻击行为,不同攻击行为发生情况患者的TC、TG、T_4、TSH、T、F比较,差异无统计学意义(P0.05);发生攻击行为患者的T_3高于未发生患者,差异有统计学意义(P0.05)。多因素Logistic回归分析结果显示,T_3、TSH是社区精神疾病患者发生攻击行为的影响因素(P0.05)。结论大部分社区精神疾病患者的血生化检查指标在参考范围内,且攻击行为发生率较低,T_3、TSH是其发生攻击行为的影响因素。
[Abstract]:Objective to detect the level of blood biochemical examination in patients with mental illness in community and to explore its effect on aggressive behavior. Methods from April to August in Beijing Tiancun Community Health Service Center Yongding Road Community Health Service Center was selected. Wanshou Road Community Health Service Center, Yuyuantan Community Health Service Center, Balizhuang Community Health Service Center, Fangzhuang Community Health Service Center, 193 patients with mental illness who received community mental health service in Yuetan Community Health Service Center were tested and recorded their blood biochemical examination indexes. Total cholesterol TCU, triglyceride TGG, triiodothyronine triiodothyronine triiodothyronine (T3), thyroxine triiodothyronine (T4), thyroid stimulating hormone (TSH), testosterone (T), and serum total cortisol (TG) were followed up for 3 months to record the occurrence of aggressive behavior. Results 165 patients were followed up. The TC of 21 cases (12.7%) was higher than that of 69 cases (41.8 cases in reference range) (TG was higher than that of 81 cases (49.1%) in reference range) and T was higher than that in reference range (10 cases). The difference was not statistically significant (P 0.05). The results of multivariate Logistic regression analysis showed that T3TSH was the influential factor of aggressive behavior in patients with mental illness in community. Conclusion the blood biochemical examination indexes of most patients with mental illness in community are within the reference range. The lower incidence of aggressive behavior is the influencing factor of the aggressive behavior of TSP _ 3 / T _ (3) T _ (3) T _ (3) T _ (SH).
【作者单位】：北京协和医学院护理学院;北京市海淀区田村社区卫生服务中心;
【基金】：国家自然科学基金资助项目(2014-81350014)
【分类号】：R749

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