首页|小檗碱联合阿戈美拉汀对精神分裂症患者认知功能及血清BDNF、IL-1β水平的影响

小檗碱联合阿戈美拉汀对精神分裂症患者认知功能及血清BDNF、IL-1β水平的影响

扫码查看
目的 探讨小檗碱联合阿戈美拉汀对精神分裂症(schizophrenia,SZ)患者认知功能及血清脑源性神经营养因子(Brain-derived neurotrophic factor,BDNF)、白细胞介素-1β(Interleukin-1β,IL-1β)水平的影响.方法 选取并调查2020年6月~2023年6月在我院进行诊治的SZ患者80例,采用随机数字表法分为观察组(小檗碱+阿戈美拉汀+利培酮,40例)和对照组(阿戈美拉汀+利培酮,40例).记录两组阳性及阴性症状量表(Positive And Negative Syndrome Scale,PANSS)评分和蒙特利尔认知评估量表(Montreal Cognitive Assessment,MoCA)评分,检测两组血清BDNF、IL-1β水平,观察两组不良反应.结果 治疗后两组阳性、阴性、精神症状评分较治疗前均显著下降,且观察组数据较低(P<0.05);治疗后两组MoCA评分较治疗前显著上升,且观察组数据高(P<0.05);治疗后两组BDNF水平较治疗前显著上升,IL-1β水平显著下降,且观察组BDNF水平数据高,IL-1β水平数据低(P<0.05);在不良反应方面,两组总发生率比较差异无显著意义(连续性校正x2=0.392,P=0.531).结论 小檗碱联合阿戈美拉汀能有效缓解SZ患者症状,改善认知功能,调节血清BDNF、IL-1β水平,安全性高.
Effects of berberine combined with Agomelatine on cognitive function and serum levels of BDNF and IL-1β in patients with schizophrenia
Objective To investigate the effects of berberine combined with agomelatine on cognitive function and serum levels of brain-derived neurotrophic factor(BDNF)and interleukin-1β(IL-1β)in patients with schizophrenia(SZ).Methods A total of 80 SZ patients diagnosed and treated in our hospital from June 2020 to June 2023 were se-lected and investigated.They were divided into observation group(Berberine+agomelatine+risperidone,40 cases)and control group(Agomelatine+risperidone,40 cases)by random number table method.The positive and negative Symp-tom Scale(PANSS)scores and Montreal Cognitive Assessment Scale(MoCA)scores were recorded in the two groups.Serum BDNF and IL-1β levels were detected in the two groups,and adverse reactions were observed in the two groups.Results After treatment,the scores of positive,negative and psychiatric symptoms in the two groups were significantly decreased compared with those before treatment,and the data in the observation group was lower(P<0.05).MoCA score of the two groups after treatment was significantly higher than that before treatment,and the observation group was higher(P<0.05).After treatment,the level of BDNF in the two groups was significantly increased,and the level of IL-1βwas significantly decreased,and the level of BDNF in the observation group was higher,and the level of IL-1β was lower(P<0.05).There was no significant difference in the overall incidence of adverse reactions between the two groups(con-tinuity correction x2=0.392,P=0.531).Conclusion Berberine combined with Agomelatine can effectively relieve symptoms of SZ patients,improve cognitive function,regulate serum BDNF,IL-1β levels,and have high safety.

SchizophreniaBerberineAgomelatineCognitive function

赵冰晶、汪莹莹、黄毅、饶永锋

展开 >

西部战区总医院(成都,610083)

精神分裂症 小檗碱 阿戈美拉汀 认知功能

四川省卫生计生委科研项目(2019)

19PJ012

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(2)
  • 16