首页|精神分裂症患者治疗前后BDNF和EGF水平与临床症状及认知功能的关系

精神分裂症患者治疗前后BDNF和EGF水平与临床症状及认知功能的关系

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目的 探讨精神分裂症患者治疗前后脑源性神经营养因子(BDNF)和表皮生长因子(EGF)水平与认知功能的关系.方法 选取我院 2021 年 1 月至 2022 年 1 月收治的 51 例精神分裂症患者,分析治疗前后血清BDNF和EGF水平与临床症状及认知功能的关系.结果 治疗后患者BDNF水平高于治疗前,EGF水平、阳性和阴性症状(PANSS)评分均低于治疗前,差异有统计学意义(P<0.05);治疗后患者stroop色词测验A~D卡片用时均短于治疗前,差异有统计学意义(P<0.05);治疗后患者可重复成套神经心理状态测验(RBANS)中各维度评分均高于治疗前,差异有统计学意义(P<0.05);Spearman相关性分析显示,治疗后BDNF水平与PANSS各维度评分、A~D卡片用时均呈负相关,与RBANS各维度评分呈正相关(P<0.05);治疗后EGF水平与PANSS各维度评分、A~D卡片用时均呈正相关,与RBANS各维度评分呈负相关(P<0.05).结论 精神分裂症患者治疗后BDNF水平升高,与临床症状呈负相关、与认知功能呈正相关;EGF水平降低,与临床症状呈正相关、与认知功能呈负相关.
The Relationship Between BDNF and EGF Levels and Clinical Symptoms andCognitive Function in Patients with Schizophrenia Before and After Treatment
Objectives Toinvestigate the relationship between the levels of Brain-derived Neurotrophic Factor(BDNF)and Epidermal Growth Factor(EGF)and cognitive function in schizophrenic patients before and after treatment.Methods A total of 51 patients with schizophrenia admitted to our hospital from January 2021 to January 2022 were selected.The relationship between serum BDNF and EGF levels and clinical symptoms and cognitive function before and after treatment was analyzed.Results After treatment,the BDNF level was significantly higher than that before treatment,while EGF levels,Positive and Negative SymptomScores(PANSS)were significantly lower than those before treatment(P<0.05).The duration of stroopcolor word test A to D cards after treatment was significantly shorter than that before treatment(P<0.05).After treatment,the scores of each dimension in the Repeatable Battery for the Assessment of Neuropsychological Status(RBANS)increased significantly compared to those before treatment(P<0.05).Spearman correlation analysis showed that after treatment,BDNF level was negatively correlated with PANSS dimension scores and A-D card duration,and positively correlated with RBANS dimension scores(P<0.05).After treatment,EGF level was positively correlated with PANSS scores and A-D card duration,and negatively correlated with RBANS scores(P<0.05).Conclusions The level of BDNF in patients with schizophrenia increased after treatment,which is negatively correlated with clinical symptoms and positively correlated with cognitive function.The decrease in EGF levels was positively correlated with clinical symptoms and negatively correlated with cognitive function.

Brain-derived neurotrophic factorSchizophreniaCognitive function

喻志敏、熊江红、杨远坚、占瑾琼

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江西省精神病院,江西 南昌 330029

脑源性神经营养因子 精神分裂症 认知功能

2024

现代诊断与治疗
南昌市医学会 南昌市医学科学研究所

现代诊断与治疗

影响因子:0.736
ISSN:1001-8174
年,卷(期):2024.35(15)