首页|抑郁症患者TNF-α和ADP比值的研究

抑郁症患者TNF-α和ADP比值的研究

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目的 探讨抑郁症患者血清肿瘤坏死因子-α(TNF-α)、脂联素(ADP)及二者比值的变化和临床意义。方法 选取2020年1-12月山东省戴庄医院收治的40例抑郁症患者为观察组,选取同期26例健康志愿者为对照组。观察组给予抗抑郁口服药物治疗4周,采用汉密尔顿抑郁量表(HAMD)评定抑郁症状的严重程度,采用ELISA检测观察组治疗前后和对照组血清TNF-α和ADP表达水平,并分析TNF-α/ADP变化。结果 观察组治疗前HAMD评分为25。5(21。0,30。0)分,治疗后评分为2。0(1。0,4。0)分,二者比较差异有统计学意义(P<0。05)。观察组治疗前 TNF-α、TNF-α/ADP水平高于对照组,且治疗后高于治疗前(P<0。05)。观察组治疗后ADP水平低于对照组和治疗前,差异有统计学意义(P<0。05)。结论 抑郁症患者TNF-α/ADP水平变化比TNF-α更明显。
Study on the ratio of TNF-α to ADP in patients with depression
Objective To investigate the changes and clinical significance of serum tumor necrosis fac-tor-α(TNF-α),adiponectin(ADP)and their ratio in patients with depression.Methods A total of 40 patients with depression admitted to Shandong Daizhuang Hospital from January to December 2020 were selected as the observation group,and 26 healthy volunteers were selected as the control group.The observation group was treated with oral antidepressants for four weeks,and the severity of depressive symptoms was assessed by Hamilton depression scale(HAMD).The levels of serum TNF-α and ADP in the observation group before and after treatment and the control group were detected by ELISA,and the change of TNF-α/ADP was ana-lyzed.Results HAMD scores of the observation group were 25.5(21.0,30.0)before treatment and 2.0(1.0,4.0)after treatment,the difference was statistically significant(P<0.05).The levels of TNF-α and TNF-α/ADP in the observation group before treatment were higher than those in the control group,which af-ter treatment were also higher than those before treatment(P<0.05).The level of ADP in the observation group after treatment was lower than that before treatment and in the control group,the differences were sta-tistically significant(P<0.05).Conclusion The level of TNF-α/ADP in patients with depression is more ob-vious than TNF-α.

depressiontumor necrosis factor-αadiponectinHamilton Depression Scaleenzyme-linked immunosorbent assay

冯毅菲、张培文、曹美群

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广西中医药大学研究生学院,南宁 530001

深圳市第二人民医院老年医学研究所,广东深圳 518035

山东省戴庄医院精神疾病合并躯体疾病科,山东济宁 272000

抑郁症 肿瘤坏死因子-α 脂联素 汉密顿抑郁量表 酶联免疫吸附试验

国家自然科学基金项目广东省深圳市科技规划项目

81503415JCYJ20210324122803011

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(5)
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