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首发未服药精神分裂症患者临床症状与炎症因子的相关分析

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目的 分析首发未服药精神分裂症患者临床症状与炎症因子之间的关系。方法 招募了 76名参与者,分为首发未服药精神分裂症患者组及健康对照组。对所有被试进行血清炎症因子水平检测,同时收集患者社会人口学资料、阳性和阴性症状量表得分(PANSS)、简明精神病评定量表(BPRS)得分。比较两组之间炎症因子水平差异,分析有差异的炎症因子与临床症状之间的相关性,采用ROC曲线分析炎症因子水平对精神分裂症的诊断价值。结果 与健康对照组相比,研究组中的白细胞介素(IL)-1β、IL-4、IL-8、IL-13、碱性成纤维细胞生长因子(bFGF)、γ干扰素诱导蛋白-10(IP-10)和单核细胞趋化因子-1(MCP-1)的水平显著升高(P<0。05),血管内皮生长因子(VEGF)-D的水平低于健康对照(P<0。05)。同时发现IL-1β、MCP-1、IL-13与PANSS量表、BPRS量表及其分量表均有一定的相关性(均P<0。05)。最后通过ROC曲线分析发现bFGF(AUC=0。9944)是诊断效能较好的血清炎症因子。结论 血清炎症因子与精神分裂症关系密切,同时对首发未服药精神分裂症的诊断有较高价值。
Analysis of the correlation between clinical symptoms and inflammatory factors in first-episode unmedi-cated schizophrenia
Objective To investigate and analyze the relationship between clinical symptoms and inflammatory factors in first-episode unmedicated schizophrenia.Methods Seventy-six participants were recruited and divided into a group of patients with first-episode unmedicated schizophrenia and a healthy control group.Serum inflammatory fac-tor levels were tested for all subjects,and patient sociodemographic data,Positive and Negative Symptom Scale scores(PANSS),and Brief Psychiatric Rating Scale scores(BPRS)scale scores were also collected.We compared the dif-ferences in inflammatory factor levels between the two groups,analyzed the correlation between the different inflamma-tory factors and clinical symptoms,and used ROC curves to analyze the diagnostic value of inflammatory factor levels for schizophrenia.Results The levels of IL-1β,IL-4,bFGF,IL-13,IL-8,IP-10,and MCP-1 were significantly higher(P<0.05),and the levels of VEGF-D were lower(P<0.05)in the study group compared to healthy controls.It was also found that IL-1β,MCP-1,and IL-13 were correlated with PANSS scale,BPRS scale,and their subscales(all P<0.05).Finally,bFGF(AUC=0,9944)was found to be a serum inflammatory factor with better diagnostic ef-ficacy by ROC curve analysis.Conclusion Serum inflammatory factor is closely related to schizophrenia and is also of high value in the diagnosis of first-episode unmedicated schizophrenia.

SchizophreniaMeso Scale DiscoveryInflammatory factor

裴文志、程夏龙、余涛、严凡凡、张丽、张许来

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安徽医科大学附属心理医院精神科(合肥,230022)

安徽省精神卫生中心,合肥市第四人民医院

安徽省精神心理疾病临床研究中心

精神分裂症 超敏电化学发光分析技术 炎症因子

安徽省卫生健康科研项目安徽医科大学校科研基金项目

AHWJ2023A202172022xkj119

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(4)