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目的了解河南省精神卫生中心住院精神病患者的肥胖现况,为进一步开展饮食干预的实验性研究提供参考依据。方法自编调查表,通过病案室调查病历获得所需数据资料。结果 (1)被调查的住院精神病患者肥胖率为9.3%,超重率为23.8%。(2)肥胖在血脂异常与否、高血压病有无和糖尿病有无中的分布均不同(χ~2=48.824,15.940,10.107),差异均有统计学意义(P<0.05)。(3)精神病患者入、出院BMI的差异有统计学意义(t=-17.054,P<0.05)。(4)肥胖影响因素的logistic回归分析结果显示,病程的OR值大于1(95%CI,1.0061.062),是肥胖发生的危险因素。结论精神病患者肥胖率较一般人群高,患者住院期间体重有增加趋势,住院患者肥胖的发生与病程有关。
Objective To understand the status of obesity among inpatients with mental illness in Henan Mental Health Center and provide reference for further experimental study on dietary intervention. Methods Self-made questionnaires, medical records through the case record to obtain the required data. Results (1) Obesity rate of inpatients with psychosis was 9.3% and overweight rate was 23.8%. (2) The distribution of obesity in dyslipidemia, hypertension and presence of diabetes were all different (χ ~ 2 = 48.824,15.940,10.107), the differences were statistically significant (P <0.05). (3) There was a significant difference in BMI among psychiatric patients (t = -17.054, P <0.05). (4) Logistic regression analysis of influencing factors of obesity showed that OR of disease course was greater than 1 (95% CI, 1.0061.062), which was the risk factor of obesity. Conclusion The obesity rate of psychiatric patients is higher than that of the general population. The body weight of patients with psychosis tends to increase during hospitalization. The incidence of obesity in hospitalized patients is related to the course of the disease.