Chongqing Medical University Mental Medical Discipline, Chongqing 400016, China.
Department of Cardiovascular Medicine, Hangzhou Ninth People's Hospital, Hangzhou 310020, China.
Contrast Media Mol Imaging. 2022 Jul 20;2022:1110941. doi: 10.1155/2022/1110941. eCollection 2022.
Psychiatric disorders include severe psychiatric disorders and those in general with some psychiatric disorders having a clear etiology or in which a significant psychiatric predisposing factor is present. Whereas, psychiatric disorders precisely refer to those characterized by mild depression and mild anxiety and appear to affect a large number of people in any community. It has been reported that the disease is highly prevalent and has a huge impact on the individual, family, and community levels, resulting in a heavy burden on the healthcare system of a country. To explore the status of somatic symptoms in young and middle-aged psychiatric patients during long-term hospitalization, a total of 114 young and middle-aged psychiatric patients with prolonged hospitalization (more than 5 years) were included. Data information of the hospitalized patients was recorded, including preadmission somatic symptoms, electrocardiogram (ECG), echocardiogram, abdominal ultrasound, and blood tests. In addition, a homemade questionnaire was administered, and general information about the patients was also collected, including gender, age, current medication use, and duration of medication use. Correlations between cardiometabolic disease, osteoporosis, and long-term oral antipsychotic medication were analyzed in these young and middle-aged patients. The prevalence of comorbid somatic symptoms was 77.2%, and concomitant disorders included mainly cardiometabolic disorders, osteoporosis, pulmonary infections, cerebrovascular disorders, digestive disorders, fractures, and skin conditions. The incidence of somatic symptoms caused by long-term use of antipsychotic drugs was about 88.6%, and the incidence of concomitant somatic symptoms was higher in young and middle-aged psychiatric patients who were hospitalized for a long time. The current study observed a high prevalence of somatic symptoms in young and middle-aged patients with long-term inpatient psychiatric illness. Endocrine and metabolic disorders, particularly dyslipidemia, may trigger a range of deleterious effects. In addition to this, there is a high incidence of osteoporosis. Special attention should be paid to the side effects of antipsychotic drugs, and appropriate measures are needed to make early diagnosis and provide early treatment to reduce the occurrence of cardiometabolic diseases and osteoporosis.
精神障碍包括严重的精神障碍和一般的精神障碍，有些精神障碍有明确的病因，或者存在明显的精神易患因素。而精神障碍则确切地指那些以轻度抑郁和轻度焦虑为特征的障碍，似乎在任何社区都会影响大量的人。据报道，这种疾病的患病率很高，对个人、家庭和社区层面都有巨大影响，给国家的医疗保健系统带来了沉重的负担。为了探讨长期住院的中青年精神科患者躯体症状的状况，共纳入 114 例长期住院（5 年以上）的中青年精神科患者。记录住院患者的数据信息，包括入院前躯体症状、心电图（ECG）、超声心动图、腹部超声和血液检查。此外，还进行了自制问卷，并收集了患者的一般信息，包括性别、年龄、当前用药情况和用药时间。分析了这些中青年患者中代谢性心血管疾病、骨质疏松症与长期口服抗精神病药物之间的相关性。共病躯体症状的患病率为 77.2%，主要合并症包括代谢性心血管疾病、骨质疏松症、肺部感染、脑血管疾病、消化系统疾病、骨折和皮肤疾病。长期使用抗精神病药物引起的躯体症状发生率约为 88.6%，长期住院的中青年精神科患者合并躯体症状的发生率更高。本研究观察到长期住院的中青年精神科患者躯体症状的患病率较高。内分泌和代谢紊乱，特别是血脂异常，可能会引发一系列有害影响。此外，骨质疏松症的发病率也很高。应特别注意抗精神病药物的副作用，需要采取适当措施进行早期诊断和早期治疗，以减少代谢性心血管疾病和骨质疏松症的发生。
