精神分裂症患者的心血管和呼吸系统健康
The cardiovascular and respiratory health of people with schizophrenia.
作者信息
Filik R, Sipos A, Kehoe P G, Burns T, Cooper S J, Stevens H, Laugharne R, Young G, Perrington S, McKendrick J, Stephenson D, Harrison G
机构信息
Division of Psychiatry, University of Bristol, Bristol, UK.
出版信息
Acta Psychiatr Scand. 2006 Apr;113(4):298-305. doi: 10.1111/j.1600-0447.2006.00768.x.
OBJECTIVE
To examine the cardiovascular and respiratory health of people with severe mental illness (SMI) and compare findings with the Health Surveys for England.
METHOD
A prospective, multi-centre observational prevalence study of 602 patients with schizophrenia-related psychoses carried out in six locations across the UK over 24 months.
RESULTS
Compared with general population subjects, people with SMI reported higher rates of angina and respiratory symptoms and had poor lung function. Much of this increased risk could be explained by lifestyle risk factors; there were increased levels of obesity among younger people with SMI.
CONCLUSION
Key indicators of the cardiovascular and respiratory health of people with SMI are poor compared with those of the general population. Care plans should prioritize interventions to attenuate lifestyle risk factors. Evidence of increasing obesity in younger patients is of particular concern, predicting even greater health needs in the future.
目的
研究重度精神疾病（SMI）患者的心血管和呼吸系统健康状况，并将研究结果与英格兰健康调查进行比较。
方法
一项前瞻性、多中心观察性患病率研究，对602例患有精神分裂症相关精神病的患者在英国六个地点进行了为期24个月的研究。
结果
与普通人群相比，SMI患者报告的心绞痛和呼吸道症状发生率更高，肺功能较差。这种风险增加的大部分原因可由生活方式风险因素解释；SMI的年轻患者中肥胖水平有所增加。
结论
与普通人群相比，SMI患者心血管和呼吸系统健康的关键指标较差。护理计划应优先考虑采取干预措施以减轻生活方式风险因素。年轻患者中肥胖增加的证据尤其令人担忧，预示着未来更大的健康需求。
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