Objective To investigate the tobacco use in Uyghur men with first-episode schizophrenia and to investigate and analyze the prevalence of combined tobacco dependence.Methods A total of 273 Uygur men who were treated in Xinjiang Mental Health Center from January to December in 2016 were enrolled in this study,the status of tobacco use in patients with schizophrenia was investigated and analyzed by the General Self-made Scale,FNDT,and Russell Smoking Questionnaire (RRSQ).They were diagnosed according to the diagnosis of "tobacco use disorders" in the In ternational Statistical Classification of Diseases and Related Health Problems (ICD-10) Criteria and screening positive patients (FTND ≥ 4),and was RRSQ used for analysis of the reasons for smoking in patients.Results The lifetime smok ing rate was 74.72％ (204 cases) in 273 patients.Sixty-four cases were diagnosed as "tobacco use disorders" by ICD-10,accounting for 23.44％.In the questionnaire RRSQ of,for patients with FTND≤4 and FTND ＞ 4,there was highly statistically significant difference between the two groups in psychological imagery,addiction,autoimmunity and depen dence (P ＜ 0.01).Conclusion Tobacco use is common in Uyghur men with first-episode schizophrenia,especially in tobacco-dependent comorbidities,which should arouse people's attention;especially for the treatment of patients with schizophrenia complicated by tobacco dependence should arouse sufficient attention of psychiatrists,so as to provide a favorable basis for the further study.%目的 了解在新疆维吾尔族男性首发精神分裂症患者中的烟草使用情况,及对合并烟草依赖状况的调查与分析.方法 使用一般情况自制量表、尼古丁依赖严重程度量表(FNDT) 、Russell吸烟原因问卷对2016年1～12月在新疆精神卫生中心就诊的273例维吾尔族男性首发精神分裂症患者烟草使用的状况进行调查和分析,根据《国际疾病与相关健康问题统计分类(第10版)》(ICD-10)中“烟草使用障碍”诊断标准及对筛查阳性患者(FT-ND＞4)进行诊断,用Russell吸烟原因问卷对患者进行吸烟原因进行分析.结果 在273例患者中终生吸烟率为74.72％(204例);确定符合ICD-10中关于“烟草使用障碍”诊断标准患者64例,占调查总人数的23.44％.在使用Russell吸烟原大问卷中,FTND≤4分与FTND＞4分两组心理意象、瘾、自动和依赖分量表得分比较,差异有高度统计学意义(P＜ 0.01).结论 在新疆维吾尔男性首发精神分裂症患者中,烟草使用情况普遍,尤其以与烟草依赖的共病较为常见,值得注意;特别是对于精神分裂症患者合并烟草依赖的治疗,应引起精神科医生足够重视,从而为下一步研究提供有利的依据.
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