| 李晓慧,李宁,李武.2014年-2020年济宁市严重精神障碍患者死因及减寿分析[J].四川精神卫生杂志,2023,36(1):32-38.Li Xiaohui,Li Ning,Li Wu,Analysis on the causes of death and years of life lost among patients with severe mental disorders in Jining city from 2014 to 2020[J].SICHUAN MENTAL HEALTH,2023,36(1):32-38 |
| 2014年-2020年济宁市严重精神障碍患者死因及减寿分析 |
| Analysis on the causes of death and years of life lost among patients with severe mental disorders in Jining city from 2014 to 2020 |
| 投稿时间：2022-06-30 |
| DOI：10.11886/scjsws20220630002 |
| 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 mental disorders Cause of death Years of life lost Jining city |
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| 中文摘要: |
| 目的 分析济宁市严重精神障碍患者死因及减寿情况，为提升对严重精神障碍患者的管理水平提供参考。方法 收集济宁市纳入国家严重精神障碍信息系统管理、并于2014年1月1日-2020年12月31日死亡的严重精神障碍患者为研究对象，共3 638例。查阅患者管理档案并提取一般信息及死亡状况，分析不同特征患者的死亡原因，通过潜在减寿年数（PYLL）、平均减寿年数（AYLL）和潜在减寿率（PYLLR），分析严重精神障碍造成的寿命损失。结果 严重精神障碍死亡患者以精神分裂症患者居多，为2 826例（77.68%）；严重精神障碍患者最主要的死因为罹患躯体疾病，有1 869例（51.37%）。精神发育迟滞伴发精神障碍患者的首次发病年龄最小［（22.49±20.14）岁］、死亡年龄最小［（51.72±18.32）岁］、病程最长［（29.26±19.35）年］。济宁市严重精神障碍患者PYLL为68 941.06人年，AYLL为18.95年，PYLLR为382.36‰。精神发育迟滞伴发精神障碍的AYLL最高，为27.21年；癫痫所致精神障碍的PYLLR最高，为892.73‰。结论 合并躯体疾病是济宁市严重精神障碍患者的主要死因；癫痫所致精神障碍减寿顺位排序为第一。 |
| 英文摘要: |
| Objective To analyze the causes of death and years of life lost among patients with severe mental disorders in Jining city， in order to provide references for improving the management level of the patients.Methods A total of 3 638 patients with severe mental disorders who were recorded in the National Information System for Severe Mental Disorders in Jining and died between January 1， 2014 and December 31， 2020 were included in the study. The general information and the status of mortality were extracted via checking management files. Thereafter， the causes of death of patients with different characteristics were discussed， and the years of life lost due to severe mental disorders was analyzed through calculating potential years of life lost （PYLL）， average years of life lost （AYLL） and potential years of life lost rate （PYLLR）.Results The majority of patients who died from severe mental disorders were those with schizophrenia， accounting for 77.68% （2 826/3 638）. The most common cause of death among patients with severe mental disorders was physical illness with 1 869 cases （51.37%）. Among the selected subjects， patients with mental retardation and comorbid mental disorders had the youngest age of disease onset ［（22.49±20.14） years］， the youngest age at death ［（51.72±18.32） years］ and the longest duration of disease ［（29.26±19.35） years］. The PYLL， AYLL and PYLLR of patients with severe mental disorders in Jining were 68 941.06 person-years， 18.95 years and 382.36‰， respectively. The mental retardation and comorbid mental disorders had the highest AYLL at 27.21 years， and epilepsy-induced mental disorder had the highest PYLLR at 892.73‰.Conclusion Comorbid physical illness is the main causes of death in patients with severe mental disorders in Jining city， and epilepsy-induced mental disorder have occupied the first place in terms of the years of life lost. |
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