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抗精神病药物治疗与精神分裂症相关的骨质疏松症。

Osteoporosis associated with antipsychotic treatment in schizophrenia.

机构信息

Institute of Mental Health, Second Xiangya Hospital, Central South University, Changsha 410011, China.

出版信息

Int J Endocrinol. 2013;2013:167138. doi: 10.1155/2013/167138. Epub 2013 Apr 17.

Abstract

Schizophrenia is one of the most common global mental diseases, with prevalence of 1%. Patients with schizophrenia are predisposed to diabetes, coronary heart disease, hypertension, and osteoporosis, than the normal. In comparison with the metabolic syndrome, for instance, there are little reports about osteoporosis which occurs secondary to antipsychotic-induced hyperprolactinaemia. There are extensive recent works of literature indicating that osteoporosis is associated with schizophrenia particularly in patients under psychotropic medication therapy. As osteoporotic fractures cause significantly increased morbidity and mortality, it is quite necessary to raise the awareness and understanding of the impact of antipsychotic-induced hyperprolactinaemia on physical health in schizophrenia. In this paper, we will review the relationship between schizophrenia, antipsychotic medication, hyperprolactinaemia, and osteoporosis.

摘要

精神分裂症是全球最常见的精神疾病之一,患病率为 1%。精神分裂症患者比正常人更容易患糖尿病、冠心病、高血压和骨质疏松症。与代谢综合征相比,很少有关于抗精神病药引起的高催乳素血症继发骨质疏松症的报道。最近有大量文献表明,骨质疏松症与精神分裂症有关,特别是在接受精神药物治疗的患者中。由于骨质疏松性骨折会导致发病率和死亡率显著增加,因此非常有必要提高人们对精神分裂症中抗精神病药引起的高催乳素血症对身体健康影响的认识和理解。本文将综述精神分裂症、抗精神病药物、高催乳素血症和骨质疏松症之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65e2/3652172/61f733d2ad0c/IJE2013-167138.001.jpg

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