MA Wenguo, ZHAO Xiaoya, CHU Xin, TANG Xiaowei. Gender difference of bone mineral density in patients with schizophrenia[J]. Journal of Clinical Medicine in Practice, 2021, 25(22): 71-73, 86. DOI: 10.7619/jcmp.20214054
Citation: MA Wenguo, ZHAO Xiaoya, CHU Xin, TANG Xiaowei. Gender difference of bone mineral density in patients with schizophrenia[J]. Journal of Clinical Medicine in Practice, 2021, 25(22): 71-73, 86. DOI: 10.7619/jcmp.20214054

Gender difference of bone mineral density in patients with schizophrenia

More Information
  • Received Date: October 14, 2021
  • Available Online: December 03, 2021
  • Published Date: November 27, 2021
  •   Objective  To detect the levels of bone mineral density (BMD) and biochemical indexes in schizophrenic patients with different gender, and to explore the gender difference and related influencing factors of abnormal bone metabolism.
      Methods  A total of 179 patients with schizophrenia were selected, including 89 males and 90 females. The value of lumbar BMD was measured by quantitative CT (QCT), and the levels of blood calcium, blood phosphorus, alkaline phosphatase and parathyroid hormone were detected as well.
      Results  There were no significant differences in age, years of education, body mass index, course of disease, drug dose and total score of Positive and Negative Symptom Scale (PANSS) between male and female schizophrenic patients in different age groups (P>0.05). The BMD values of male and female schizophrenic patients were significantly lower than those of the matched male and female healthy controls (P < 0.05). In the age group of 51 to 60 years old, the BMD values of female schizophrenic patients were significantly lower than that of male schizophrenic patients (P=0.032). Compared with male schizophrenic patients, female schizophrenic patients had significant lower blood calcium level and higher parathyroid hormone level (P < 0.05). In male schizophrenic patients, the body mass index and drug dose were significantly correlated with BMD (P=0.002, 0.043), while the age, course of disease and drug dose in female schizophrenic patients were significantly correlated with BMD (P=0.005, 0.032, 0.049).
      Conclusion  There are differences in BMD value and influencing factors between schizophrenic patients with different gender, and different intervention measures should be taken to improve BMD.
  • [1]
    井媛媛, 谢雁鸣, 姜俊杰, 等. 独活寄生汤治疗绝经后骨质疏松症的meta分析[J]. 中国骨质疏松杂志, 2021, 27(10): 1431-1437, 1475. doi: 10.3969/j.issn.1006-7108.2021.10.005
    [2]
    王静, 赵雅琴, 李成, 等. 难治性精神分裂症患者白细胞介素水平分析[J]. 实用临床医药杂志, 2020, 24(17): 96-98. doi: 10.7619/jcmp.202017026
    [3]
    轩红艳, 王丽华, 李华芳. 精神分裂症患者骨代谢影响因素的研究进展[J]. 上海交通大学学报: 医学版, 2021, 41(7): 972-976. doi: 10.3969/j.issn.1674-8115.2021.07.021
    [4]
    汪庆, 吴秀玲. 女性精神分裂症合并骨质疏松症对患者性激素、血脂及血尿酸水平的影响[J]. 中国妇幼保健, 2019, 34(24): 5584-5586. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201924008.htm
    [5]
    王朔, 江涛, 余燕萍. 氯氮平对精神分裂症患者骨密度、睾酮、泌乳素及骨质疏松的影响[J]. 中国现代医学杂志, 2020, 30(19): 78-81. doi: 10.3969/j.issn.1005-8982.2020.19.014
    [6]
    靳玉宏, 仪玉伟, 刘桂荣, 等. 康复训练联合膳食干预对慢性精神分裂症患者骨密度的影响研究[J]. 中国实用医药, 2019, 14(4): 11-13. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA201904005.htm
    [7]
    汪崇泽, 孟美玲, 费慧, 等. 长期服用抗精神病药物男性慢性精神分裂症患者合并骨质疏松的多因素分析[J]. 中国临床医生杂志, 2017, 45(12): 47-49. doi: 10.3969/j.issn.2095-8552.2017.12.017
    [8]
    王素娟, 毛赛锦, 李金亮. 探讨三种非典型抗精神病药物对精神分裂症患者血清性激素水平的影响[J]. 重庆医学, 2017, 46(A02): 126-128. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG201806019.htm
    [9]
    余彪. 男性精神分裂症患者骨密度减少的相关影响因素[J]. 心理月刊, 2018, 13(3): 56-56. https://www.cnki.com.cn/Article/CJFDTOTAL-XLYK201803047.htm
    [10]
    林榕, 陈剑英, 何秀英, 等. 长期住院慢性精神分裂症老年患者骨密度状况的调查[J]. 当代护士: 上旬刊, 2018, 25(3): 147-148. doi: 10.3969/j.issn.1006-6411.2018.03.069
    [11]
    吴勇, 万静, 平军娇, 等. 精神分裂症患者骨代谢标志物的研究[J]. 中国当代医药, 2018, 25(3): 120-122. doi: 10.3969/j.issn.1674-4721.2018.03.039
    [12]
    王碧馨, 杜向东. 精神分裂症患者高泌乳素血症与骨密度水平相关性研究进展[J]. 精神医学杂志, 2018, 31(5): 388-391. doi: 10.3969/j.issn.2095-9346.2018.05.019
    [13]
    严芳, 成杰, 张艳萍, 等. 精神分裂症患者骨密度状况及影响因素研究[J]. 中华护理杂志, 2017, 52(3): 321-326. doi: 10.3761/j.issn.0254-1769.2017.03.014
  • Related Articles

    [1]MA Kaiyue, ZHANG Shu, HUANG Shixin, LI Xiaobo. Effect of Siwu Wuzi Decoction on vascular endothelial growth factor, transforming growth factor-β1 and inflammatory factor levels in patients with wet age-related macular degeneration[J]. Journal of Clinical Medicine in Practice, 2025, 29(4): 6-10. DOI: 10.7619/jcmp.20244475
    [2]HUANG Lei, QIAN Yinhua, QIAN Pingkang, WU Ziying, XU Feng, WANG Qing. Correlation between lumbar spine bone mineral density and large rotator cuff tears[J]. Journal of Clinical Medicine in Practice, 2024, 28(21): 111-115, 126. DOI: 10.7619/jcmp.20243325
    [3]LIU Lianlian, YU Huiyong, LI Lei, GUO Yufei, NIE Tianyang, MAN Tian, WEI Shixiang, XIE Chuxi, CHEN Tianyun, WANG Chengxiang. Mendelian randomization analysis of the causal association between bronchial asthma and bone mineral density[J]. Journal of Clinical Medicine in Practice, 2024, 28(14): 24-29. DOI: 10.7619/jcmp.20241383
    [4]LIU Kun, XU Qingyi, ZHU Jun, CHEN Fang. A comparison of macular morphology and microcirculation index in patients with pathological myopic choroidal neovascularization at different ages[J]. Journal of Clinical Medicine in Practice, 2023, 27(18): 65-69. DOI: 10.7619/jcmp.20231883
    [5]LI Bo, ZHU Xiaoyu, WANG Ting, SONG Shaojie, HANG Chunjiu. Senescence-associated LncRNA PINT influences the development of age-related cataracts through epigenetic modifications[J]. Journal of Clinical Medicine in Practice, 2021, 25(5): 40-44. DOI: 10.7619/jcmp.20210318
    [6]LI Xiaohua, HUANG Xiaohong. Relaxation therapy combined with pain nursing intervention in elderly patients with osteoporosis[J]. Journal of Clinical Medicine in Practice, 2020, 24(18): 129-132. DOI: 10.7619/jcmp.202018035
    [7]YANG Tengfei, PEI Dongmei, ZHANG Pengsi. A survey on bone mineral density in physical examination population in Shenyang City and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2020, 24(2): 111-113. DOI: 10.7619/jcmp.202002032
    [8]AN Zhi, ZHENG Na, LUO Hua. Clinicopathological analysis of 139 patients with primary membranous nephropathy in different age groups[J]. Journal of Clinical Medicine in Practice, 2019, 23(12): 65-67. DOI: 10.7619/jcmp.201912019
    [9]YU Xiaofei. Survey of cervical erosion incidence of differently aged women[J]. Journal of Clinical Medicine in Practice, 2013, (15): 147-148. DOI: 10.7619/jcmp.201315056
    [10]GAO Bing-xia, LIN Xiang-chun, LIU Hong, WU Jing, CHANG Yan-qin, GUO Jing, YUN Shi-ping, LU Yue-xia. Investigation on the relationship between age, gender, obesity and the prevalence of colorectal adenoma[J]. Journal of Clinical Medicine in Practice, 2011, (17): 14-16. DOI: 10.3969/j.issn.1672-2353.2011.17.005
  • Cited by

    Periodical cited type(18)

    1. 马肖寒,周凤丽,周莉. 呼吸机管路低位摆放预防行机械通气患者呼吸机相关性肺炎的效果观察. 山东医学高等专科学校学报. 2025(01): 96-98 .
    2. 李晓,胡加运,秦梦. 革兰阴性杆菌感染呼吸机相关性肺炎患者病原菌分布及耐药性. 中国民康医学. 2024(05): 16-18 .
    3. 黄小芬,夏良娥,赵世元,黄敏敏. 建立梯度提升机模型预测RICU机械通气并发呼吸机相关性肺炎患者的短期预后. 广西医学. 2024(01): 78-83 .
    4. 郑丽欢. 某院ICU呼吸机相关性肺炎患者呼吸道标本中病原菌的检出情况和耐药性分析. 抗感染药学. 2024(02): 177-180 .
    5. 徐海蓉,陆恺,陈林祥. 有创-无创序贯机械通气治疗重症肺炎合并呼吸衰竭的效果观察. 大医生. 2024(07): 96-98 .
    6. 钟晓莉,余林,邓海波,张帆,罗洲. 236例ICU呼吸机相关性肺炎患者病原菌分布及耐药性分析. 中国病原生物学杂志. 2024(07): 838-841 .
    7. 邹君俊. 一种免倾倒呼吸机集水杯的设计与使用. 科技与创新. 2024(13): 57-58+64 .
    8. 张先梅,文艳,哈海霞,罗永丽,张艳. 重症肺炎患儿呼吸机相关性肺炎发生风险列线图模型构建. 临床医学研究与实践. 2024(27): 9-13 .
    9. 陈妙莉,黄腊梅,赵红苑. 基于循证理念主导的早期康复活动在ICU机械通气患者中的应用效果. 现代养生. 2024(20): 1584-1588 .
    10. 伏帅. 慢阻肺合并呼吸衰竭机械通气患者发生呼吸机相关性肺炎的危险因素分析. 黑龙江医药科学. 2024(06): 149-151 .
    11. 吴小杰,郜永月. 呼吸机相关性肺炎的影响因素及护理预防策略. 现代养生. 2024(22): 1750-1753 .
    12. 张楠,李红双,兰迎春. 基于网式控制模式的吸痰方案优化对重症机械通气患者VAP的预防效果研究. 齐鲁护理杂志. 2024(21): 129-131 .
    13. 王一山,阮萍,章夏萍. 基于渥太华研究应用模式的肺部感染预防方案在ICU机械通气病人中的应用. 循证护理. 2024(24): 4543-4547 .
    14. 丁剑,周俊. 慢性阻塞性肺疾病合并肺炎患者的痰培养菌种分布及耐药性分析. 实用临床医药杂志. 2023(01): 60-63+67 . 本站查看
    15. 王彦芬,朱萍莲,刘玉芳,凌碧珍,王航莉,郑丽华. 重症监护室患者呼吸机相关性肺炎的影响因素分析及预防性应对措施探讨. 中西医结合护理(中英文). 2023(02): 145-147 .
    16. 周红,李志红,徐丽红. 分级肺康复护理对ICU机械通气病人的应用效果. 全科护理. 2023(34): 4842-4845 .
    17. 王进,李玉侠. ICU老年机械通气患者呼吸机相关性肺炎风险预测模型的构建探讨. 中国实用医药. 2023(23): 52-56 .
    18. 荆惠,关胜男,谢凯,王海峰. 纤维支气管镜肺泡灌洗辅助治疗重症呼吸机相关性肺炎的Meta分析. 实用临床医药杂志. 2022(21): 1-7+13 . 本站查看

    Other cited types(3)

Catalog

    Article views (213) PDF downloads (11) Cited by(21)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return