【摘要】 目的 探讨住院精神分裂症患者发生肠梗阻临床相关因素。方法 对发生肠梗阻的42例住院精神分裂症患者进行症状特征、分型特点、好发人群、精神药物等相关因素进行分析。结果 肠梗阻患者年龄主要发生于40岁以上精神患者，而且40～50岁之间呈现较集中分布。服抗精神病药物在5年以上、服药剂量为中等剂量以上、服药品种以酚噻嗪类为主者易发生肠梗阻。发生肠梗阻前全部有便秘史。肠梗阻症状具有普遍的肠鸣音减弱和低血钾，自觉症状腹胀腹痛发生少。病前有不排便、不进餐史和呕吐。梗阻分型以不完全性低位结肠梗阻为主。结论 服抗精神病药物在5年以上、服药酚噻嗪类药物者易发生肠梗阻。

    【关键词】 精神分裂症患者； 肠梗阻； 临床分析

    Clinical analysis in schizophrenia inpatients with intestinal obstruction

    HUANG Hui-fang. Ankang Hospital of Tianjin Public Security Bureau, Tianjin 300240，China

    【Abstract】 Objective To investigate the influencing factors in schizophrenia patients with intestinal obstruction. Methods Statistical analysis of the 42 cases with intestinal obstruction for last two years by factors of symptoms,clinical features,susceptible population and antipsychotics.Results The intestinal obstruction happened in the patients of the age over 40 years old.Most of them between the age of 40 years old and 50 years old. The patients often use antipsychotics,more than 5 years, most of them use phenothiazine.All of the patients have the same symptom of constipation before intestinal obstruction. The common symptoms are the weak intestinal peristaltic sound and hypokalemia. The less are abdominal distention and abdominal pain. The more are constipation, noneating and vomiting. The main type is incomplete lower intestinal obstruction.Conclusion The patients with intestinal obstruction often use antipsychotics more than 5 years,most of them use phenothiazine. ......