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Korean Journal of Schizophrenia Research 2005;8(1):47-53.
정신분열병 환자에서 대사성 장애의 예방과 치료 전략
남윤영·안철우·김찬형
Abstract
Schizophrenia is a chronic and deteriorating mental illness. There are growing evidences that the morbidity of metabolic impairments and mortality from cardiovascular disease in schizophrenic patients is higher compared with the general population. These metabolic sequelae may be attributable to certain atypical antipsychotic agents, poor health related behavior/life style and/ or psychotic symptoms. This article describes and summarizes the recommendations for prevention and managements of metabolic impairments in patients with schizophrenia. Identifying high risk patients, promoting health related life style, choice of appropriate antipsychotic regimen with fewer metabolic side effects, education, and monitoring weight, blood pressure and laboratory test regularly during treatment are essential for reducing metabolic burdens in patients with schizophrenia. (Schizophrenia Clinics 2005;8:47-53)
Key Words: Schizophrenia·Metabolic syndrome·Metabolic impairments·Diabetes·Dyslipidemia·Hypertension·Obesity·Weight gain
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