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精神分裂症住院患者伴发非酒精性脂肪肝的临床分析

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目的:了解住院精神分裂症患者非酒精性脂肪肝的患病率及相关危险因素。方法:对150例住院精神分裂症作了体重指数(BMI)、血压、肝胆B超、血糖、血脂、肝功能及尿酸等检测。结果:精神分裂症伴发非酒精性脂肪肝的占34%,其BMI、腰围、臀围、血压明显高于不伴有脂肪肝者(P<0.05),而除载脂蛋白A (ApoA1)、碱性磷酸酶(AKP)外,其他血脂、肝功能指标、血糖、尿酸均与不伴脂肪肝者差异显著(P<0.05);长期吸烟者与脂肪肝的发生呈一定正相关(P<0.05);而与药物之间的比较并无显著性差异(P>0.05)。肥胖、糖尿病、血脂异常、吸烟与患脂肪肝有关(回归系数分别为:2.642,2.412,1.406,-2.237)。结论:长期住院的慢性精神分裂症患者伴发非酒精性脂肪肝的比例增高,肥胖、糖尿病、血脂异常、吸烟等是脂肪肝的伴发因素和心血管疾病的危险因素,值得临床关注。
The Clinical Analysis of Non-alcoholic Fatty Liver Disease among Schizophrenia lnpatients
Objectve:To investigate the prevalence of non-alcoholic faty liver in schizophrenic inpatients and its related risk factors.Methods:150 schizophrenia inpatients treated in Shanghai Mental Health Center received body mass index (BMI),blood pressure and ultrasonography of liver.Serum level of several biochemical materials were measured, which including fasting blood glucose,blood fat,liver function and uric acid.Results:The prevalence of non-alcoholic faty liver in schizophrenic inpatients was 34%,the BMI,waist circumference,hip circumference and blood pressure were significantly higher than those without faty liver(P<0.05);in addition to apolipoprotein A (ApoA1),alkaline phosphatase (AKP) than other blood fat,liver function,blood glucose and uric acid were not associated with faty liver were significantly different(P <0.05);Long-term smokers seem to show a positive correlation with the occurrence of faty liver (P <0.05);the comparison is no significant difference between the drug (P> 0.05).Obesity,diabetes, dyslipidemia,smoking is associated with risk of faty liver (withβ of 2.642,2.412,1.406 and -2.237 respectively).Conclusion:Non-alcoholic faty liver occures in many schizophrenia inpatients,obesity,diabetes, dyslipidemia and smoking is a faty liver with factors and a risk factor for cardiovascular disease.Much atention should be paid even in the early course of ilness.

Schizophrenianon-alcoholic faty liver diseaserisk factorsclinical analysis

朱景新、曲伸

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上海同济大学医学院 200072

上海同济大学附属上海市第十人民医院内分泌科 200072

精神分裂症 非酒精性脂肪肝 危险因素 临床分析

2014

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2014.(7)
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