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精神分裂症患者外周血CRP、Alb、PA与攻击行为及疗效的关系分析

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目的:分析精神分裂症(Schizophrenia,SCH)患者外周血C反应蛋白(C-reactive protein,CRP)、白蛋白(Albumin,Alb)、前白蛋白(Prealbumin,PA)与攻击行为及疗效的关系.方法:选取2020年 1月至2023年12月本院收治的92例SCH患者作为研究对象,均给予奥氮平治疗4 w后,根据治疗前后阳性和阴性症状量表(Positive and negative symptom scale,PANSS)评分改善情况评估疗效,分为高减分率组(n=45)和低减分率组(n=47).入住时评估患者修改版外显攻击行为量表(Modified overt aggression scale,MOAS)评分,治疗前后检测所有患者血清CRP、Alb、PA水平,采用Pearson相关性分析血清CRP、Alb、PA与MOAS评分及PANSS减分率的关系.结果:相较于治疗前,治疗后 SCH 患者血清 CRP 水平明显降低(P<0.05),血清 Alb、PA 水平明显升高(P<0.05).与低减分率组比较,高减分率组的血清CRP水平、MOCA评分较低(P<0.05),血清Alb、PA水平较高(P<0.05).Pearson相关性分析结果显示,血清CRP水平与MOAS评分呈正相关(P<0.05)、与 PANSS减分率呈负相关(P<0.05),血清Alb、PA水平与MOAS评分呈负相关(P<0.05)、与 PANSS减分率呈正相关(P<0.05).结论:SCH患者血清CRP水平越低、Alb、PA水平越高,发生攻击行为的可能性越小,且其疗效越好.
Relationship between peripheral blood CRP,Alb,PA and aggressive behaviors,curative effect in patients with schizophrenia
Objective:To analyze the relationship between peripheral blood C-reactive protein(CRP),albumin(Alb),prealbumin(PA)and aggressive behaviors,curative effect in patients with schizophrenia(SCH).Methods:A total of 92 patients with SCH admitted to the hospital were enrolled as the research objects between January 2020 and December 2023.After 4 weeks of olanzapine treatment,patients were divided into high deduction rate group(n=45)and low deduction rate group(n=47)according to scores of positive and negative symptom scale(PANSS).When evaluating patients with modified version of the overt aggression scale(MOAS).Before and after treatment,levels of serum CRP,Alb and PA in all patients were detected.The relationship between serum CRP,Alb,PA and MOAS score,deduction rate of PANSS was analyzed by Pearson correlation analysis.Results:After treatment,the level of serum CRP was significantly decreased(P<0.05),while levels of serum Alb and PA were significantly increased(P<0.05).Compared with non-aggression group,level of serum CRP and MOAS score were higher in aggression group(P<0.05),while levels of serum Alb and PA were lower(P<0.05).Compared with low deduction rate group,level of serum CRP was lower in high deduction rate group(P<0.05),while levels of serum Alb and PA were higher(P<0.05).The results of Pearson correlation analysis showed that level of serum CRP was positively correlated with MOAS score(P<0.05),while negatively correlated with deduction rate of PANSS(P<0.05).The levels of serum Alb and PA were negatively correlated with MOAS score(P<0.05),while positively correlated with deduction rate of PANSS(P<0.05).Conclusion:The lower the level of serum CRP and the higher the levels of Alb and PA,the lower the incidence of aggressive behaviors and the better the curative effect in SCH patients.

C-reactive proteinAlbuminPrealbuminSchizophreniaAggressive behavior

龙青祥、周艳珍

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永新县第三人民医院检验科,江西 吉安 343400

C反应蛋白 白蛋白 前白蛋白 精神分裂症 攻击行为

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(8)
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