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精神分裂症患者代谢障碍与认知功能损害的相关研究

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目的:探讨精神分裂症患者代谢紊乱与认知功能障碍的相关性,从而明确代谢障碍能否加重认知损害.方法:招募精神分裂症患者及健康对照,以抗精神病药治疗后体重增幅≥7%将精神分裂症患者分为体重增加组与体重未增组.采用MATRICS共识认知成套测验(MCCB)评估患者的认知功能,测量身高、体重、腰围、臀围,并检测空腹血糖、甘油三酯、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)与胰岛素等糖脂代谢指标.结果:体重增加组相对于体重未增组,异常的代谢指标更多,MCCB评分更低.精神分裂症患者中,体重、体重指数(BMI)分别与信息处理速度、词语学习负相关,血脂异常与社会认知损害相关.结论:精神分裂症患者的代谢紊乱与认知损害明显相关,代谢障碍会加重患者的认知损害.
Correlations between Metabolic Disorders and Cognitive Impairment in Schizophrenia
Objective:To explore the changes of metabolism and cognitive function in patients with schizophrenia after weight gain and their associations.Methods:Patients with schizophrenia and healthy controls were recruited.Patients were divided into two groups based on whether they gained weight by ≥7%during antipsychotic treatment.Participants complet-ed MATRICS Consensus Cognitive Suite Battery(MCCB)and had their height,weight,waist and hip circumferences mea-sured,as well as fasting serum glucose,triglycerides,total cholesterol(TC),high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C),and insulin tested.Results:Compared with the non-weight gain group,the weight gain group had more abnormal metabolic parameters and worse MCCB performance.In patients with schizophrenia,body weight and body mass index(BMI)were negatively correlated with neurocognitive scores,and abnormal blood lipid profile was associated with social cognitive impairment.Conclusion:Patients with schizophrenia who gain weight have more metabolic abnormalities and worse cognitive impairment.Metabolic disorders are associated with cognitive impair-ment in schizophrenia.

SchizophreniaWeight gainMetabolic disorderCognitive impairmentAntipsychotic

谢鹏、邵天男、吴仁容、唐慧

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中南大学湘雅二医院精神病学科,国家精神心理疾病临床医学研究中心,国家精神疾病医学中心,长沙 410011

精神分裂症 体重增加 代谢紊乱 认知功能损害 抗精神病药

国家自然科学基金项目国家自然科学基金项目国家自然科学基金项目湖南省重点研发项目

8227154582072096821015782022SK2043

2024

中国临床心理学杂志
中国心理卫生协会

中国临床心理学杂志

CSTPCDCSSCI北大核心
影响因子:1.474
ISSN:1005-3611
年,卷(期):2024.32(3)