首页|非自杀性自伤抑郁患者非酶类抗氧化物、血脂水平及焦虑抑郁症状的关联性

非自杀性自伤抑郁患者非酶类抗氧化物、血脂水平及焦虑抑郁症状的关联性

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目的 探讨非自杀性自伤(NSSI)抑郁患者非酶类抗氧化物与血脂水平及焦虑抑郁症状的相互关联性.方法 回顾性选取 2022 年 9 月至 2023 年 9 月于武汉市精神卫生中心住院治疗的 102 例抑郁发作患者,分为伴NSSI行为的抑郁发作患者(NSSI组)54 例作为研究组,不伴NSSI行为的抑郁发作患者(非NSSI组)48 例作为对照组.比较伴与不伴NSSI行为的青少年抑郁患者的非酶类抗氧化物(TBiL、DBiL、ALB、UA)、血脂指标(TC、TG、HDL-C、LDL-C)的水平,以分析NSSI抑郁患者非酶类抗氧化物和血脂指标表达情况.结果 与对照组相比,研究组血清TBiL、DBiL、UA水平均较低(P<0.05),血清HDL-C水平较高(P<0.05).家庭关系和睦(P=0.016,OR=6.925,95%CI:1.438-33.349)、抑郁水平(P<0.001,OR=1.215,95%CI:1.106-1.335)为青少年抑郁患者发生NSSI的独立危险因素.结论 NSSI抑郁患者可能存在氧化应激和血脂水平异常,且家庭关系和睦和抑郁水平是其独立危险因素.
Association study of non-enzyme antioxidant and lipid levels and anxiety and depressive symptoms in non-suicidal self-injury depressed patients
Objective To explore the correlation between non-enzymatic antioxidants and blood lipid levels and anxiety and depression symptoms in depressed patients with non-suicidal self-injury(NSSI).Methods Retrospectively,among 102 patients with depressive episode who were hospitalized in Wuhan Mental Health Center from September 2022 to September 2023,54 patients with depressive episode(NSSI group)and 48 patients with depressive episode without NSSI group(non-NSSI group)were selected as the research group and the control group respectively.Compare the levels of non-enzymatic antioxidants(TBiL,DBiL,ALB,UA),and blood lipid indexes(TC,TG,HDL-C,LDL-C)in adolescents with depression without NSSI behavior,to analyze the expression of non-enzymatic antioxidants and blood lipid indexes in NSSI depression patients;Associated analysis of non-enzymatic antioxidants(TBiL,DBiL,ALB,UA)and lipid indexes(TC,TG,HDL-C,LDL-C).Results Compared with the control group,serum TBIL,DBIL,UA in the study group were lower(P<0.05)and higher HDL-C(P<0.05).Family harmony(P=0.016,OR=6.925,95%CI:1.438-33.349)and depression lovel score(P<0.001,OR=1.215,95%CI:1.106-1.335)were independent risk factors for NSSI in adolescent depression.Conclusion Non-suicidal depressed patients may have oxidative stress and abnormal blood lipid levels,and harmonious family relationships and depressive symptoms are their independent risk factors.

Non-suicidal self-injuryOxidative stressNon-enzymatic antioxidantsBlood lipidsDepressionAnxiety

许梦婷、房茂胜

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安徽医科大学精神卫生与心理科学学院,合肥 230032

武汉市精神卫生中心,武汉 430012

武汉市心理医院,武汉 430012

非自杀性自伤 氧化应激 非酶类抗氧化物 血脂 抑郁 焦虑

国家自然科学基金资助项目

81771445

2024

济宁医学院学报
济宁医学院

济宁医学院学报

影响因子:0.513
ISSN:1000-9760
年,卷(期):2024.47(2)
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