首页|青少年广泛性焦虑障碍人群血清标志物表达变化

青少年广泛性焦虑障碍人群血清标志物表达变化

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目的 探讨青少年广泛性焦虑障碍(GAD)人群血清神经元特异性烯醇化酶(NSE)、白细胞介素-1β(IL-1β)、脑源性神经营养因子(BDNF)的表达水平,为青少年GAD的早期诊断和病情评估提供参考依据.方法 选取2020年3月-2023年2月在呼和浩特市3所三甲医院就诊,年龄13~18岁的首发青少年GAD患者97例,根据入院时广泛性焦虑障碍问卷(GAD-7)评分将其分为轻中度GAD组(58例)和重度GAD组(39例),同时选取同期来自该3所医院参加常规体检的青少年健康人群为对照组(90名).采用方差分析比较3组对象血清NSE、IL-1β及BDNF水平,进一步两两比较用LSD-t检验;采用Pearson相关性分析血清NSE、IL-1β及BDNF之间的关系.结果 3组受试者血清NSE、IL-1β及BDNF水平的差异均有统计学意义(F值分别为10.73,12.80,20.67,P值均<0.01),组间两两比较显示差异均有统计学意义(P值均<0.05).对照组血清 NSE 为(8.70±1.35)μg/L、IL-1β 为(18.42±5.43)pg/mL,均为最低;重度 GAD组为(14.21±3.25)μg/L、(26.04±5.39)pg/mL,均为最高.对照组血清BDNF水平为(27.16±4.42)ng/mL,为最高;重度GAD组为(10.46±3.27)ng/mL,为最低.双变量Pearson直线相关分析显示,GAD人群血清NSE、IL-1β水平与血清BDNF水平均呈负相关(r值分别为-0.49,-0.57),血清NSE与IL-1β水平呈正相关(r=0.40)(P值均<0.05).结论 青少年GAD人群存在血清NSE、IL-1β水平异常升高、BDNF水平异常降低的表现.血清NSE、IL-1β及BDNF水平可作为青少年GAD的检测标志物,有助于其早期诊断和病情评估.
Expression levels of serum biomarkers in adolescents with generalized anxiety disorder
Objective To investigate the expression levels of serum neuron-specific enolase(NSE),interleukin-1β(IL-1β)and brain-derived neurotrophic factor(BDNF)in adolescents with generalized anxiety disorder(GAD),so as to provide reference for the early diagnosis and evaluation of GAD in adolescents.Methods From March 2020 to February 2023,97 first-episode adoles-cents with generalized anxiety disorder aged 13-18 years were selected in the study.According to the score of generalized anxiety disorder questionnaire(GAD-7)on admission,they were divided into mild-moderate GAD group(58 cases)and severe GAD group(39 cases).At the same time,90 healthy adolescents who participated in routine physical examination in the same period were se-lected as the control group.Variance analysis was conducted for comparison among serum NSE,IL-1β and BDNF level.LSD-t was applied for further comparison,and the bivariate Pearson linear correlation analysis was carried out for the relationship among serum NSE,IL-1β and BDNF level.Results The differences among 3 groups of subjects on NSE and IL-1β,and BDNF were of statis-tical significance(F=10.73,12.80,20.67,P<0.01),and the differences between groups were statistically significant(P<0.05).In the control group,serum NSE level was(8.70±1.35)μg/L,IL-1β was(18.42±5.43)pg/mL,both were the lowest.The levels of NSE and IL-1β in severe GAD group were(14.21±3.25)μg/L,(26.04±5.39)pg/mL,which were the highest.The serum BD-NF level in control group was(27.16±4.42)ng/mL,which was the highest;and the severe GAD group was(10.46±3.27)ng/mL,which was the lowest.The bivariate Pearson linear correlation analysis showed that the serum NSE and IL-1β levels in GAD group were negatively correlated with the serum BDNF level(r=-0.49,-0.57);the serum NSE level was positively correlated with the IL-1β level(r=0.40)(P<0.05).Conclusions The serum levels of NSE and IL-1β are abnormally increased in adolescents with GAD,and the serum levels of BDNF are significantly decreased.The serum levels of NSE,IL-1β and BDNF can be used as detec-tion markers for adolescent GAD,which is helpful for early diagnosis and disease evaluation.

AnxietySerumMental healthAnalysis of varianceAdolescent

都吉雅、徐海霞、巴特尔

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内蒙古医科大学附属医院蒙医科,呼和浩特 010050

内蒙古医科大学附属医院放疗科

内蒙古医科大学公共卫生学院

焦虑 血清 精神卫生 方差分析 青少年

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(3)
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