Taipei Medical University, Taiwan.
Acta Psychiatr Scand. 2011 Jan;123(1):55-61. doi: 10.1111/j.1600-0447.2010.01541.x.
This study aims to document a range of risk of psychiatric and physical comorbidities among PD patients using a nationwide population-based dataset in Taiwan.
A total of 3672 patients with at least three consensus diagnoses with PD were included, together with 18 360 matched controls without PD. Logistic regression analyses were performed after adjusting for sociodemographic characteristics.
After adjusting for the patients' sex, age and geographic region, patients with PD were more likely to have major depressive disorder (OR = 23.45), bipolar disorder (OR = 15.54), cardiac dysrhythmia (OR = 15.12), coronary heart disease (OR = 7.69), myocardial infarction (OR = 6.55), irritable bowel syndrome (OR = 4.82), peptic ulcers (OR = 4.30), cerebrovascular disease (OR = 3.61), hypertension (OR = 3.31), epilepsy (OR = 3.07), hepatitis (OR = 2.70), hyperlipidemia (OR = 2.20), asthma (OR = 2.17), schizophrenia (OR = 2.14), neoplasms (OR = 2.02), renal disease (OR = 1.89) and diabetes (OR = 1.26), compared to patients in the comparison cohort.
We conclude that PD is associated with an array of psychiatric and physical illnesses.
本研究旨在使用台湾全国性人口数据集记录一组帕金森病患者的精神和躯体共病风险。
共纳入 3672 名至少有 3 次共识诊断为帕金森病的患者,并与 18360 名无帕金森病的匹配对照进行比较。在调整社会人口统计学特征后,进行逻辑回归分析。
在调整了患者的性别、年龄和地理位置后,帕金森病患者更有可能患有重度抑郁症(OR=23.45)、双相情感障碍(OR=15.54)、心律失常(OR=15.12)、冠心病(OR=7.69)、心肌梗死(OR=6.55)、肠易激综合征(OR=4.82)、消化性溃疡(OR=4.30)、脑血管疾病(OR=3.61)、高血压(OR=3.31)、癫痫(OR=3.07)、肝炎(OR=2.70)、高血脂(OR=2.20)、哮喘(OR=2.17)、精神分裂症(OR=2.14)、肿瘤(OR=2.02)、肾病(OR=1.89)和糖尿病(OR=1.26),与对照组相比。
我们的结论是,帕金森病与一系列精神和躯体疾病有关。