组合分类模型用于预测抗精神病药物诱导的超益生菌血症风险
Zhenhua Wang1, Jing Li2, Yajuan Le1
1Department of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou University Huzhou 313000, Zhejiang, China.
American journal of translational research
|December 19, 2025
概括
这项研究开发了一种针对女性精神分裂症患者抗精神病药物诱导的高血糖性血症的预测模型. 该模型使用BMI,FT4,TSH和皮质醇,有助于早期临床风险评估.
科学领域:
- 精神病学和内分泌学 精神病学和内分泌学
- 药物监督 药物监督 药物监督
背景情况:
- 抗精神病药物可以诱导高血,这是一种影响患者健康的副作用.
- 预测这种不良影响对于管理精神分裂症治疗至关重要.
研究的目的:
- 开发和验证抗精神病药物诱导的高血糖性乳腺炎的风险预测模型.
- 在女性精神分裂症患者中确定关键的临床和生化预测因素.
主要方法:
- 招募了200名患有第一发精神分裂症的女性患者.
- 收集了基线血液样本用于激素和甲状腺功能测试.
- 开发了一个使用后勤回归的预测模型,并通过ROC,校准和DCA进行验证.
主要成果:
- 确定了BMI,FT4,TSH和皮质醇作为显著的预测因素 (P <0.05).
- 该模型在初始队列中实现了0.838的AUC,具有良好的内部和外部验证.
- 该模型表现出高特异性和灵敏度,具有卓越的临床实用性.
结论:
- 成功开发了一种针对抗精神病药物诱导的高血糖血症的新型风险预测模型.
- 这种模型为早期识别和管理精神分裂症患者的超益生菌血症提供了有价值的工具.
相关概念视频
Psychosis and Antipsychotic Drugs: Overview
776
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
776
Antipsychotic Drugs: Typical and Atypical Agents
704
Antipsychotic drugs are classified into first-generation (typical) drugs including phenothiazines; and second-generation (atypical) drugs. Chlorpromazine hydrochloride (Thorazine), a phenothiazine derivative, broadly impacts the central, autonomic, and endocrine systems. This drug, along with typical agents like haloperidol (Haldol), primarily works by antagonizing D2 receptors, thus reducing dopaminergic neurotransmission. However, typical antipsychotics can cause side effects such as sedation...
704
Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists
787
Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
Phenothiazines, such as prochlorperazine...
Phenothiazines, such as prochlorperazine...
787
Mania and Antimanic Drugs: Overview
526
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
526
Therapeutic Drug Monitoring: Overview and Classification
270
Therapeutic Drug Monitoring (TDM) is a clinical practice that measures specific drug levels in a patient's blood at designated intervals to ensure the drug concentration stays within a therapeutic range. This monitoring is crucial for optimizing individual dosage regimens, enhancing therapeutic efficacy, and minimizing drug-related toxicity. TDM is vital for drugs with narrow therapeutic windows, significant variability in pharmacokinetics, and a clear correlation between plasma levels and...
270
Psychosis: Goals of Pharmacotherapy
441
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
441


