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男性精神分裂症患者睾酮、PRL与认知功能、攻击行为的关系

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目的 探讨男性精神分裂症患者睾酮、泌乳素(prolactin,PRL)水平与认知功能、攻击行为的关系。方法 选取 2020年 10 月—2022 年 10 月厦门市仙岳医院收治的 80 例男性精神分裂症患者进行研究。检测所有患者的睾酮、PRL、认知功能[蒙特利尔认知评估量表(Montreal cognitive assessment,MOCA)]以及攻击行为[修订版外显攻击行为量表(modified overt aggression scale,MOAS)]。比较不同认知功能、攻击行为患者的血清睾酮、PRL水平,并分析其检测结果之间相关性。结果 依据MOCA总分将患者分为认知损害组(MOCA<26 分,n=54)与认知正常组(MOCA≥26 分,n=26)。依据MOAS总分将患者分为有攻击行为组(MOAS≥5 分,n=31)与无攻击行为组(MOAS<5 分,n=49)。认知损害组患者睾酮、PRL水平高于认知正常组患者,差异有统计学意义(P<0。05);有攻击行为组患者睾酮、PRL水平高于无攻击行为组患者,差异有统计学意义(P<0。05);男性精神分裂症患者睾酮水平与MOCA总分呈负相关(P<0。05),男性精神分裂症患者睾酮水平与MOAS总分呈正相关(P<0。05);男性精神分裂症患者PRL水平与MOCA总分呈负相关(P<0。05),男性精神分裂症患者PRL水平与MOAS总分呈正相关(P<0。05)。结论 男性精神分裂症患者睾酮、PRL水平与其认知功能损害、攻击行为有一定关联。
Relationship Between Testosterone,PRL and Cognitive Function,Aggressive Behavior in Male Schizophrenic Patients
Objective To investigate the relationship between the levels of testosterone,prolactin(PRL)and cognitive function,aggressive behavior in male schizophrenia patients.Methods A total of 80 male patients with schizophrenia who were admitted to Xiamen Xianyue Hospital from October 2020 to October 2022 were studied.Detected all patients'testosterone,PRL,cognitive function[Montreal cognitive assessment scale(MOCA)]and aggression[modified overt aggression scale(MOAS)].The levels of serum testosterone and PRL in patients with different cognitive function and aggressive behavior were compared.The correlation between the detection results was analyzed.Results According to the total score of MOCA,patients were divided into the cognitive impairment group(MOCA<26 points,n=54)and the normal cognitive group(MOCA≥26 points,n=26).According to the total score of MOAS,patients were divided into the aggressive behavior group(MOAS≥5 points,n=31)and the non-aggressive behavior group(MOAS<5 points,n=49).The levels of testosterone and PRL in the cognitive impairment group were higher than those in the normal cognitive group,the differences were statistically significant(P<0.05).The levels of testosterone and PRL in the aggressive behavior group were higher than those in the non-aggressive behavior group,the differences were statistically significant(P<0.05).There was a negative correlation between testosterone level and the total score of MOCA in male schizophrenia patients(P<0.05),and a positive correlation between testosterone levels and total MOAS scores in male schizophrenia patients(P<0.05).The PRL level in male patients with schizophrenia was negatively correlated with the total score of MOCA(P<0.05),while the PRL level in male patients with schizophrenia was positively correlated with the total score of MOAS(P<0.05).Conclusion There is a certain correlation between testosterone,PRL levels and their cognitive impairment,aggressive behavior in male patients with schizophrenia.

male schizophreniatestosteroneprolactincognitive functionaggressive behaviorcorrelation analysis

谢加奖、蔡贤惠、曹凤玲

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厦门市仙岳医院 / 厦门医学院附属仙岳医院 / 福建省精神医学中心 / 福建省精神疾病临床医学研究中心医学检验科,福建 厦门 361012

男性精神分裂症 睾酮 泌乳素 认知功能 攻击行为 相关性分析

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(3)
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