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| 2014-2020年xx市严重精神障碍患者死因 及减寿分析 |
| Analysis of Death Causes and Life Loss of Patients with Severe Mental Disorders in xx City from 2014 to 2020 |
| 投稿时间：2022-06-30 修订日期：2022-12-14 |
| DOI： |
| 中文关键词: 严重精神障碍 死亡原因 减寿分析 济宁市 |
| 英文关键词:Severe Mentental Disorders Cause of Death Analysis of Life Loss Jining City |
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| 中文摘要: |
| 目的 通过严重精神障碍患者的死因及减寿分析，为制定严重精神障碍患者安全管控和防治干预策略提供参考。方法 收集2014年-2020年济宁市建档立卡已录入“国家严重精神障碍信息系统”死亡患者共3638例，查阅患者管理档案并提取一般信息及死亡现状，分析不同特征患者死亡原因，通过潜在减寿年数（PYLL)、平均减寿年数(AYLL)、潜在减寿率（PYLLR）等分析严重精神障碍造成的寿命损失。结果 死亡患者以精神分裂症居多，占77.7%；精神发育迟滞伴发精神障碍首次发病年龄最小，且平均病程明显长于其他类型患者；躯体疾病是最主要的死亡原因，男性死因为躯体疾病的比例（52.04%）略高于女性（50.06）、丧偶人群死因为躯体疾病的比例（57.85%）高于其他婚姻状况人群差异有统计学意义（P＜0.05）；济宁市严重精神障碍患者平均减寿年数（AYLL）为18.95年，癫痫所致精神障碍潜在减寿率（PYLLR）为892.73%，为减寿顺位第1。结论 在严重精神障碍患者的管控中，应注意早期识别和处理患者本身存在的躯体疾病，为患者提供全面的管理治疗服务，癫痫所致精神障碍可作为济宁市严重精神障碍的管理重点。 |
| 英文摘要: |
| Objective Through the analysis of the causes of death and life loss of patients with severe mental disorders, to provide reference for the formulation of safety control, prevention and intervention strategies for patients with severe mental disorders. Methods A total of 3,638 patients who died after being entered into the " National Information System For Psychosis" with filing cards in Jining City from 2014 to 2020 were collected. After consulting patient management files and extracting general information and death status, SPSS22.0 software was used for data processing to analyze the causes of death of patients with different characteristics. Potential Years of Life Lost, Average Years of Life Lost, Potential Years of Life Lost Rate were analyzed . Results Most of the dead patients were schizophrenia, accounting for 77.7%. The age of first onset of mental retardation with mental disorder was the youngest, and the average course of disease was significantly longer than that of other types of patients. Somatic disease is the leading cause of death. The proportion of male death due to somatic disease (52.04%) was slightly higher than that of female (50.06), and that of widowed people (57.85%) was significantly higher than that of other marital status (P < 0.05). The average years of life lost (AYLL) of patients with severe mental disorders in Jining was 18.95 years, and the potential life lost rate (PYLLR) of mental disorders caused by epilepsy was 892.73%, ranking the first in the list of life lost. Conclusion In the management and control of patients with severe mental disorders, attention should be paid to early identification and treatment of patients' own somatic diseases, and to provide comprehensive management and treatment services for patients. Mental disorders caused by epilepsy can be regarded as the focus of the management of severe mental disorders in Jining. |
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