{"id":3661,"date":"2020-12-19T15:18:36","date_gmt":"2020-12-19T15:18:36","guid":{"rendered":"https:\/\/curesz.org\/?p=3661"},"modified":"2023-11-15T15:11:20","modified_gmt":"2023-11-15T20:11:20","slug":"comorbidities-in-schizophrenia-a-hidden-medical-emergency","status":"publish","type":"post","link":"https:\/\/curesz.org\/zh\/2020\/12\/19\/comorbidities-in-schizophrenia-a-hidden-medical-emergency\/","title":{"rendered":"\u7cbe\u795e\u5206\u88c2\u75c7\u7684\u5408\u5e76\u75c7\uff1a\u4e00\u4e2a\u9690\u85cf\u7684\u533b\u7597\u7d27\u6025\u60c5\u51b5"},"content":{"rendered":"
\"\"

Craig Chepke \u535a\u58eb\uff0cCURESZ \u57fa\u91d1\u4f1a\u8463\u4e8b\u4f1a\u6210\u5458\uff0c\u79c1\u4eba\u6267\u4e1a\u7cbe\u795e\u79d1\u533b\u751f\u548c\u5317\u5361\u7f57\u6765\u7eb3\u5927\u5b66\u533b\u5b66\u9662\u7cbe\u795e\u75c5\u5b66\u517c\u804c\u52a9\u7406\u6559\u6388<\/p><\/div>\n

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\u4e0e\u4e00\u822c\u4eba\u7fa4\u76f8\u6bd4\uff0c\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u7684\u6b7b\u4ea1\u7387\u662f\u5176\u4e24\u500d\u591a\uff0c\u5bff\u547d\u7f29\u77ed 10-25 \u5e74 (1)\u3002\u867d\u7136\u8fd9\u79cd\u5dee\u5f02\u7684\u90e8\u5206\u539f\u56e0\u53ef\u80fd\u662f\u81ea\u6740\u98ce\u9669\u9ad8\u5f97\u591a\uff08\u6bd4\u4e00\u822c\u4eba\u7fa4\u9ad8 12 \u5230 170 \u500d\uff09\uff0c\u4f46\u4ec5\u5fc3\u8840\u7ba1\u75be\u75c5\u5bfc\u81f4\u7684\u989d\u5916\u6b7b\u4ea1\u4eba\u6570\u5c31\u8d85\u8fc7\u4e86\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u81ea\u6740\u9020\u6210\u7684\u6b7b\u4ea1\u4eba\u6570 (2,3).\u4e5f\u8bb8\u662f\u65f6\u5019\u5f00\u59cb\u5c06\u5408\u5e76\u75c7\u89c6\u4e3a\u4e00\u79cd\u7d27\u6025\u60c5\u51b5\uff0c\u5c31\u50cf\u6211\u4eec\u81ea\u6740\u4e00\u6837\uff01<\/strong><\/p>\n

\u6211\u4eec\u8fd8\u5e94\u8be5\u8003\u8651\u5230\u8bb8\u591a\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u5728\u793e\u4f1a\u7ecf\u6d4e\u4e0a\u5904\u4e8e\u4e0d\u5229\u5730\u4f4d\u3002\u8fd9\u589e\u52a0\u4e86\u5438\u70df\u3001\u7f3a\u4e4f\u8fd0\u52a8\u548c\u4e0d\u5065\u5eb7\u996e\u98df\u7b49\u751f\u6d3b\u65b9\u5f0f\u98ce\u9669\u7684\u53ef\u80fd\u6027\u3002\u7531\u4e8e\u533b\u7597\u7cfb\u7edf\u4e0d\u582a\u91cd\u8d1f\u3001\u4fdd\u9669\u95ee\u9898\u6216\u4ea4\u901a\u95ee\u9898\uff0c\u4ed6\u4eec\u4e5f\u53ef\u80fd\u65e0\u6cd5\u83b7\u5f97\u5b9a\u671f\u7684\u9884\u9632\u6027\u533b\u7597\u670d\u52a1\u3002<\/p>\n

\u8fd9\u662f\u4e00\u4e2a\u5145\u6ee1\u98ce\u9669\u56e0\u7d20\u7684\u706b\u836f\u6876\uff0c\u9664\u6b64\u4e4b\u5916\uff0c\u5927\u591a\u6570\u6297\u7cbe\u795e\u75c5\u836f\u7269\u90fd\u6709\u4e00\u5b9a\u7a0b\u5ea6\u7684\u4f53\u91cd\u589e\u52a0\u6216\u5176\u4ed6\u4ee3\u8c22\u95ee\u9898\u7684\u6f5c\u5728\u526f\u4f5c\u7528\u3002<\/p>\n

\n

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\n\u5fc3\u7406\u7a33\u5b9a\uff0c\u8eab\u4f53\u5065\u5eb7\u3002\u201d<\/h2>\n<\/blockquote>\n

\u5f53\u51fa\u73b0\u8fd9\u4e9b\u5e76\u53d1\u75c7\u65f6\uff0c\u7cbe\u795e\u79d1\u533b\u751f\u9762\u4e34\u7740\u5982\u4f55\u5904\u7406\u7684\u5de8\u5927\u6311\u6218\u3002\u4e00\u79cd\u5e38\u89c1\u7684\u7b56\u7565\u662f\u5c06\u60a3\u8005\u6362\u6210\u98ce\u9669\u8f83\u4f4e\u7684\u6297\u7cbe\u795e\u75c5\u836f\u7269\uff0c\u5982\u9f50\u62c9\u897f\u916e\uff08ziprasidone\uff09\u3001\u9c81\u62c9\u897f\u916e\uff08lurasidone\uff09\u3001\u5361\u54cc\u55ea\uff08cariprazine\uff09\u6216\u9c81\u9ea6\u57f9\u9686\uff08lumateperone\uff09\u3002\u4e0d\u8fc7\uff0c\u51fa\u73b0\u8fd9\u4e9b\u969c\u788d\u98ce\u9669\u6700\u9ad8\u7684\u6297\u7cbe\u795e\u75c5\u836f\u7269\u4e5f\u6709\u4e00\u4e9b\u7597\u6548\u6700\u597d\u7684\u836f\u7269\uff0c\u5305\u62ec\u6c2f\u6c2e\u5e73\u548c\u5965\u6c2e\u5e73\u3002\u5728\u7ef4\u6301\u6cbb\u7597\u53cd\u5e94\u65b9\u9762\uff0c\u6297\u7cbe\u795e\u75c5\u836f\u7269\u901a\u5e38\u4e0d\u80fd\u4e92\u6362\uff0c\u8fd9\u4f7f\u60a3\u8005\u9762\u4e34\u590d\u53d1\u7684\u98ce\u9669\u3002<\/p>\n

\u5728\u76ca\u5904\u548c\u526f\u4f5c\u7528\u4e4b\u95f4\u5bfb\u6c42\u5e73\u8861\u6709\u65f6\u5c31\u50cf\u5728\u5243\u5200\u8fb9\u7f18\u884c\u8d70\u3002\u4e24\u8005\u90fd\u5f88\u91cd\u8981\uff0c\u4f46\u6211\u4eec\u5e94\u8be5\u4f18\u5148\u8003\u8651\u54ea\u4e00\u4e2a\u5462\uff1f\u7f8e\u56fd\u56fd\u5bb6\u7cbe\u795e\u536b\u751f\u7814\u7a76\u6240\u8fdb\u884c\u4e86\u4e00\u9879\u5927\u578b\u4e34\u5e8a\u8bd5\u9a8c\u6765\u56de\u7b54\u8fd9\u6837\u7684\u95ee\u9898\u3002CATIE \u7814\u7a76\u901a\u8fc7\u6bd4\u8f83\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u7ee7\u7eed\u670d\u7528\u6297\u7cbe\u795e\u75c5\u836f\u7269\u7684\u65f6\u95f4\u957f\u77ed\uff0c\u91c7\u7528\u4e86\u4e00\u79cd\u66f4\u4e3a \"\u771f\u5b9e \"\u7684\u65b9\u6cd5\u3002\u8fd9\u79cd\u65b9\u6cd5\u6240\u4f9d\u636e\u7684\u7406\u8bba\u662f\uff0c\u5982\u679c\u4e00\u4e2a\u4eba\u957f\u671f\u670d\u7528\u4e00\u79cd\u836f\u7269\uff0c\u90a3\u4e48\u5176\u76ca\u5904\u4e00\u5b9a\u4f1a\u8d85\u8fc7\u5176\u5f0a\u7aef\u3002\u5c3d\u7ba1\u5965\u6c2e\u5e73\u5bf9\u4f53\u91cd\u548c\u4ee3\u8c22\u7684\u526f\u4f5c\u7528\u6700\u5927\uff0c\u4f46\u4e0e\u5176\u4ed6\u63a5\u53d7\u6d4b\u8bd5\u7684\u6297\u7cbe\u795e\u75c5\u836f\u7269\u76f8\u6bd4\uff0c\u4eba\u4eec\u670d\u7528\u5965\u6c2e\u5e73\u7684\u65f6\u95f4\u66f4\u957f\uff0c\u8fd9\u53ef\u80fd\u662f\u56e0\u4e3a\u5965\u6c2e\u5e73\u7684\u7597\u6548\u66f4\u597d\uff084\uff09\u3002CATIE \u8fd8\u51f8\u663e\u4e86\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u7f3a\u4e4f\u533b\u7597\u62a4\u7406\u7684\u9057\u61be\u3002\u53c2\u4e0e\u4e34\u5e8a\u8bd5\u9a8c\u7684\u60a3\u8005\u901a\u5e38\u4f1a\u5f97\u5230\u6bd4\u666e\u901a\u793e\u533a\u66f4\u9ad8\u6c34\u5e73\u7684\u533b\u7597\u670d\u52a1\uff0c\u4f46\u5728 CATIE \u7814\u7a76\u4e2d\uff0c30% \u7684\u53c2\u4e0e\u8005\u60a3\u6709\u7cd6\u5c3f\u75c5\uff0c62% \u7684\u53c2\u4e0e\u8005\u60a3\u6709\u9ad8\u8840\u538b\uff0c88% \u7684\u53c2\u4e0e\u8005\u60a3\u6709\u9ad8\u80c6\u56fa\u9187\uff0c\u4f46\u4ed6\u4eec\u5374\u6ca1\u6709\u63a5\u53d7\u4efb\u4f55\u6cbb\u7597\uff085\uff09\u3002<\/p>\n

\u4fd7\u8bdd\u8bf4 \"\u4e00\u76ce\u53f8\u7684\u9884\u9632\u80dc\u8fc7\u4e00\u78c5\u7684\u6cbb\u7597\"\uff0c\u8fd9\u662f\u6709\u539f\u56e0\u7684\u3002\u51cf\u80a5\u8981\u6bd4\u9632\u6b62\u4f53\u91cd\u589e\u52a0\u96be\u5f97\u591a\uff0c\u56e0\u6b64\u7b49\u5230\u4f53\u91cd\u589e\u52a0\u540e\u518d\u505a\u51fa\u53cd\u5e94\u901a\u5e38\u4e0d\u662f\u4e00\u4e2a\u597d\u7684\u7b56\u7565\u3002\u56e0\u6b64\uff0c\u7cbe\u795e\u79d1\u533b\u751f\u5728\u5f00\u59cb\u4f7f\u7528\u6297\u7cbe\u795e\u75c5\u836f\u7269\u6cbb\u7597\u65f6\u5f00\u5177\u4e8c\u7532\u53cc\u80cd\uff08\u4e5f\u7528\u4e8e\u6cbb\u7597 2 \u578b\u7cd6\u5c3f\u75c5\uff09\u4ee5\u4e3b\u52a8\u964d\u4f4e\u4f53\u91cd\u589e\u52a0\u98ce\u9669\u7684\u505a\u6cd5\u8d8a\u6765\u8d8a\u5e38\u89c1\u3002\u540c\u6837\uff0c\u7f8e\u56fd\u98df\u54c1\u548c\u836f\u7269\u7ba1\u7406\u5c40\uff08FDA\uff09\u4e8e 2021 \u5e74\u6279\u51c6\u4e86\u4e00\u79cd\u836f\u7269\uff0c\u8fd9\u79cd\u836f\u7269\u5c06\u9ad8\u6548\u6297\u7cbe\u795e\u75c5\u836f\u5965\u6c2e\u5e73\u4e0e\u4e00\u79cd\u53ef\u964d\u4f4e\u4f53\u91cd\u589e\u52a0\u53ef\u80fd\u6027\u7684\u836f\u7269--\u8428\u7c73\u591a\u5561--\u5408\u4e8c\u4e3a\u4e00\u3002<\/p>\n

\u5c06\u8eab\u4f53\u5065\u5eb7\u89c6\u4e3a\u7cbe\u795e\u75c5\u6cbb\u7597\u8ba1\u5212\u7684\u4e00\u90e8\u5206\u53ef\u80fd\u5e76\u4e0d\u660e\u663e\uff0c\u4f46\u8fd9\u6837\u505a\u662f\u5fc5\u4e0d\u53ef\u5c11\u7684\u3002<\/strong> \u5f00\u59cb\u4f3c\u4e4e\u52bf\u4e0d\u53ef\u6321\uff0c\u6240\u4ee5\u8fd9\u91cc\u6709\u4e00\u4e9b\u884c\u52a8\u9879\u76ee\u53ef\u4ee5\u5e2e\u52a9\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u62b5\u6297\u5b83\u53ef\u80fd\u5bf9\u4ed6\u4eec\u8eab\u4f53\u9020\u6210\u7684\u8eab\u4f53\u4f24\u5bb3\uff1a<\/p>\n

1) \u4e0e\u4f60\u7684\u5fc3\u7406\u533b\u751f\u8c08\u8c08\u4f60\u7684\u8eab\u4f53\u5065\u5eb7\u4ee5\u53ca\u5e2e\u52a9\u4f60\u652f\u6301\u8eab\u4f53\u5065\u5eb7\u7684\u65b9\u6cd5\u3002<\/p>\n

2) \u8ddf\u8e2a\u60a8\u7684\u4f53\u91cd\u548c\u88e4\u5b50\u5c3a\u5bf8\u7684\u53d8\u5316\uff0c\u56e0\u4e3a\u8170\u56f4\u5c3a\u5bf8\u662f\u4ee3\u8c22\u7efc\u5408\u5f81\u7684\u6709\u7528\u9884\u6d4b\u6307\u6807\u3002<\/p>\n

3) \u52a1\u5fc5\u5b9a\u671f\u4e0e\u521d\u7ea7\u4fdd\u5065\u63d0\u4f9b\u8005\u8fdb\u884c\u68c0\u67e5\u3002<\/p>\n

\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u7406\u5e94\u8fc7\u4e0a\u7cbe\u795e\u7a33\u5b9a\u3001\u8eab\u4f53\u5065\u5eb7\u7684\u751f\u6d3b\u3002\u8ba9\u6211\u4eec\u628a\u4e3a\u8fd9\u4e24\u4e2a\u4e16\u754c\u7684\u6700\u4f73\u72b6\u6001\u800c\u594b\u6597\u4f5c\u4e3a\u60a8\u7684\u65b0\u5e74\u613f\u671b\u5427\uff01<\/p>\n

\u53c2\u8003\uff1a<\/p>\n

    \n
  1. \u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u7cbe\u795e\u969c\u788d\u4fe1\u606f\u8868\u3002 https:\/\/www.who.int\/mental_health\/management\/info_sheet.pdf<\/a><\/li>\n
  2. Zaheer\u3001Juveria \u7b49\u4eba\u3002 \u201c\u7cbe\u795e\u5206\u88c2\u75c7\u8c31\u7cfb\u969c\u788d\u8bca\u65ad\u65f6\u7684\u81ea\u6740\u9884\u6d4b\u56e0\u7d20\uff1a\u52a0\u62ff\u5927\u5b89\u5927\u7565\u7701\u4e00\u9879\u4e3a\u671f 20 \u5e74\u7684\u603b\u4eba\u53e3\u7814\u7a76\u3002\u201d\u7cbe\u795e\u5206\u88c2\u75c7\u7814\u7a76 (2020)\u3002<\/li>\n
  3. \u5384\u65af\u6bd4\u3001\u5384\u672c\u7b49\u4eba\u3002 \u201c\u745e\u5178\u65af\u5fb7\u54e5\u5c14\u6469\u53bf\u7cbe\u795e\u5206\u88c2\u75c7\u7684\u6b7b\u4ea1\u7387\u548c\u6b7b\u56e0\u3002\u201d\u7cbe\u795e\u5206\u88c2\u75c7\u7814\u7a76 45.1-2 (2000): 21-28<\/li>\n
  4. \u5229\u4f2f\u66fc\u3001\u6770\u5f17\u91cc A. \u7b49\u4eba\u3002 \u201c\u6297\u7cbe\u795e\u75c5\u836f\u7269\u5bf9\u6162\u6027\u7cbe\u795e\u5206\u88c2\u75c7\u60a3\u8005\u7684\u7597\u6548\u3002\u201d\u00a0\u65b0\u82f1\u683c\u5170\u533b\u5b66\u6742\u5fd7<\/em>353.12 (2005): 1209-1223.<\/li>\n
  5. Nasrallah, Henry A., \u7b49\u4eba\u3002 \u201c\u7cbe\u795e\u5206\u88c2\u75c7\u4e2d\u9ad8\u8840\u538b\u3001\u8840\u8102\u5f02\u5e38\u548c\u7cd6\u5c3f\u75c5\u7684\u4f4e\u6cbb\u7597\u7387\uff1a\u6765\u81ea\u57fa\u7ebf\u65f6 CATIE \u7cbe\u795e\u5206\u88c2\u75c7\u8bd5\u9a8c\u6837\u672c\u7684\u6570\u636e\u3002\u201d\u7cbe\u795e\u5206\u88c2\u75c7\u7814\u7a76 86.1-3 (2006)\uff1a15-22\u3002<\/li>\n<\/ol>\n

     <\/p>","protected":false},"excerpt":{"rendered":"

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