本文關鍵詞： 精神障礙 社區(qū)精神衛(wèi)生服務 血生化檢查 攻擊 影響因素分析　出處：《中國全科醫(yī)學》2016年22期 　論文類型：期刊論文

【摘要】：目的檢測社區(qū)精神疾病患者的血生化檢查指標水平,并探討其對攻擊行為的影響。方法于2014年4—8月選取在北京市田村社區(qū)衛(wèi)生服務中心、永定路社區(qū)衛(wèi)生服務中心、萬壽路社區(qū)衛(wèi)生服務中心、玉淵潭社區(qū)衛(wèi)生服務中心、八里莊社區(qū)衛(wèi)生服務中心、方莊社區(qū)衛(wèi)生服務中心、月壇社區(qū)衛(wèi)生服務中心接受社區(qū)精神衛(wèi)生服務的精神疾病患者193例。檢測并記錄其血生化檢查指標,包括總膽固醇(TC)、三酰甘油(TG)、三碘甲狀腺原氨酸(T_3)、甲狀腺素(T_4)、促甲狀腺激素(TSH)、睪酮(T)及血總皮質(zhì)醇(F)。隨訪3個月,記錄患者的攻擊行為發(fā)生情況。結果共165例患者完成了隨訪,其中21例(12.7%)的TC高于參考范圍,69例(41.8%)的TG高于參考范圍,81例(49.1%)的T高于參考范圍。共10例(6.1%)患者發(fā)生了攻擊行為,不同攻擊行為發(fā)生情況患者的TC、TG、T_4、TSH、T、F比較,差異無統(tǒng)計學意義(P0.05);發(fā)生攻擊行為患者的T_3高于未發(fā)生患者,差異有統(tǒng)計學意義(P0.05)。多因素Logistic回歸分析結果顯示,T_3、TSH是社區(qū)精神疾病患者發(fā)生攻擊行為的影響因素(P0.05)。結論大部分社區(qū)精神疾病患者的血生化檢查指標在參考范圍內(nèi),且攻擊行為發(fā)生率較低,T_3、TSH是其發(fā)生攻擊行為的影響因素。
[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).
【作者單位】： 北京協(xié)和醫(yī)學院護理學院;北京市海淀區(qū)田村社區(qū)衛(wèi)生服務中心;
【基金】：國家自然科學基金資助項目(2014-81350014)
【分類號】：R749

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