513例精神分裂症患者院前饮酒调查

发布时间：2018-03-01 10:46

  本文关键词： 精神分裂症 饮酒率 酒精使用障碍　出处：《济宁医学院》2017年硕士论文　论文类型：学位论文

【摘要】：背景:根据既往文献报道,酒精使用障碍是精神分裂症患者最常见的共患障碍之一,精神分裂症患者同时罹患酒精使用障碍的比率是普通人群的3倍。精神分裂症共患酒精使用障碍往往导致治疗效果和治疗依从性更差,病情更易复发和再住院,增加暴力冲动和自杀行为的风险,然而我国精神分裂症患者的酒精使用状况却缺乏系统的调查。目的:了解精神分裂症患者住院前的饮酒状况及其酒精使用障碍的共病率。通过精神分裂症共患酒精使用障碍者的人口学特征分析、推断精神分裂症共患酒精使用障碍的相关因素和高危人群,为制定预控精神分裂症患者的酒精使用障碍提供科学依据。方法:采用分层整群抽样的方法,应用自编饮酒调查表、酒精使用障碍筛查量表(AUDIT)对542名住院精神分裂症患者院前的饮酒状况进行调查,根据美国精神障碍诊断与统计手册第5版(DSM-5)酒精使用障碍标准对筛查阳性者(AUDIT≥7)进行诊断。所有调查数据均在SPSS13.0统计软件包上进行统计分析。结果:精神分裂症患者男、女及总样本终生饮酒率分别是65.1%、42.2%、5 5.9%,年饮酒率分别是40.4%、27.2%、35.1%;年饮酒者中男、女及总样本AUDIT阳性率分别是40.3%、12.5%、31.7%。饮酒者中平均每次饮酒为4 2.3 6g(中位数)纯酒精,男:女为4.0,啤酒和低度白酒是本地区精神分裂症患者最常饮用的酒类。男、女及总样本酒精使用障碍时点共病率分别是9.1%、2.0%、6.2%,男性高于女性(x2=10.86,P=0.001)。结论:饮酒是本地区精神分裂症患者的一种普遍的社会行为,啤酒和低度白酒是本地区精神分裂症患者消费的主流,精神分裂症患者的饮酒率低于普通人群,且合并酒精使用障碍的诊断率低于西方发达国家。
[Abstract]:Background: according to previous literature, alcohol use disorder is one of the most common comorbid disorders in patients with schizophrenia. Schizophrenia has three times as many alcohol use disorders at the same time as the general population. Schizophrenia with alcohol use disorders often leads to poorer treatment effectiveness and treatment compliance, and is more prone to relapse and readmission. Increases the risk of violent impulses and suicides, However, there is a lack of systematic investigation on alcohol use among schizophrenia patients in China. Objective: to understand the prevalence of alcohol consumption and alcohol use disorders in schizophrenic patients before hospitalization. Demographic characteristics of patients with sophisticated use disorders, In order to provide scientific basis for the establishment of pre-control of alcohol use disorder in schizophrenic patients, the related factors and high risk population were inferred. Methods: the method of stratified cluster sampling was used, and the self-made drinking questionnaire was used. Alcohol use disorder screening scale (AUDIT) was used to investigate the drinking status of 542 inpatients with schizophrenia before hospitalization. According to the DSM-5 (American Diagnostic and Statistical Manual for the diagnosis and Statistics of Mental Disorders), the patients with positive screening were diagnosed with audit 鈮，

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