长期住院精神病患者脑卒中风险评估调查及分析.docxVIP

长期住院精神病患者脑卒中风险评估调查及分析 　　[摘要] 目的 调查分析长期住院精神病患者诱发脑卒中风险因素。 方法 选取我院XX年1月～XX年1月收治的中老年精神病患者500例，分别采用自制调查问卷记录患者的基本情况，并给予临床检查明确其血压、血糖及血脂等相关指标，所有患者均采用改良弗明汉卒中风险评估表判定患者的卒中风险等级，通过统计学分析判定长期住院精神病患者的脑卒中风险因素。 结果 不同风险等级患者的年龄、体质指数、吸烟史、高血压、糖尿病与高血脂患病率情况比较差异有统计学意义；且年龄、BMI、吸烟史、高血压、糖尿病及高血脂患病情况是其主要风险因素。 结论 长期住院精神病患者的脑卒中风险因素主要包括年龄、BMI、吸烟史及慢性疾病患病情况，通过合理控制其肥胖程度、不良生活习惯及预防慢性疾病等方式可有效降低脑卒中发病风险。　　[关键词] 精神病；住院；脑卒中；风险评估；风险因素　　[中图分类号] R749 [文献标识码] B [文章编号] 1673--0076-03　　Investigation and analysis of stroke risk assessment in long-term inpatients with psychosis　　HUANG Yuehua MA Changming DAI Jun ZHANG Dawen LIU Wuhua　　Department of Psychiatry， Jiangxi Kangning Hospital， Zhangshu ， China　　[Abstract] Objective To investigate and analyze the risk factors for stroke long-term inpatient psychosis. Methods 500 middle and old-aged patients with psychosis admitted in our hospital from January XX to January XX were selected. The self-made questionnaire was used to record the basic situation of patients and clinical examination was taken to clear the relevant indicators of blood pressure， blood glucose and blood lipids. All Patients were assessed for the level of stroke risk using the Framingham stroke profile， and statistical analysis was performed to determine the risk factors for stroke in long-term hospitalized patients. Results There were significant differences in age， body mass index， smoking history， hypertension， diabetes mellitus and the prevalence of hyperlipidemia among patients with different risk levels. And age， BMI， smoking history， hypertension， diabetes and hyperlipidemia were the major risk factors. Conclusion The risk factors for stroke in long-term inpatients mainly include age， BMI， smoking history and the prevalence of chronic diseases. The risk of stroke can be effectively reduced by reasonably controlling the degree of obesity， adverse living habits and preventing chronic diseases.　　[Key words] Psychosis； Hospitalization； Stroke； Risk assessment； Risk factors　　目前，?X血管疾病已成为引发死亡