脑神经递质增高和降低焦虑抑郁患者的临床特点分析

Analysis of the clinical characteristics of Anxiety-depression patients with increased and reduced neurotransmitters of the brain

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DOI 10.12208/j.ijcr.20220146
刊名
International Journal of Clinical Research
年,卷(期) 2022, 6(4)
作者
作者单位

成都市第一人民医院神经内科 四川成都 ;

摘要
利用脑涨落图仪分析以躯体症状为表现的焦虑抑郁患者,研究脑涨落神经递质功能增高和降低患者临床症状的差异性。方法 选择2018年8月-2019年3月在成都市第一人民医院门诊和住院患者210例,诊断心身障碍,符合纳入标准和排除标准,在就诊1-3日内完成症状自评量表(SCL-90)评定、躯体症状评定、脑涨落图仪检测。 结果 210例患者心理评估的阳性率为71.5%,使用脑涨落仪评估的阳性率为100%。 脑功能增高组神经递质水平明显高于降低组,差异有统计学意义(P<0.05)。两组SCL-90评定比较,脑功能增高组在躯体化、恐怖、精神病性分量表分值高于降低组,比较有统计学意义(P<0.05);两组临床症状比较,脑功能增高组在头晕、疲软、心悸、体重下降、震颤症状方面发病低,比较有统计学意义(P<0.05)。结论 以躯体症状为表现的焦虑抑郁患者用量表评定存在假阴性,而脑涨落图能准确评定神经递质异常。脑涨落递质增高与降低组比较在症状量表分值,躯体症状表现方面存在差异性。
Abstract
Objective To investigate variation characteristics of cerebral neurotransmitter on anxiety-depression Patients with somatic symptoms by encephalonuctuograph(EFG).And to investigate the clinical symptom of patients were studied in the increase of brain fluctuation neurotransmitter function and the decrease. Methods 210 cases with anxiety and depression in Chengdu first Peoples Hospital outpatient and inpatient patients in August 2018 to March 2019 were chosen, in line with the inclusion criteria and exclusion criteria, Participants were assessed by SCL-90 and somatic symptoms in 1-3 days,and the relative value of six kinds of neurotransmitters(GABA,5-HT,DA,Ach,NE,Glu)were measured by Encephalofluctuograph (EFG).Results The positive rate of psychological assessment in 210 patients was 71.5%, which made the positive rate assessed by Encephalofluctuograph (EFG) instrument 100%. The level of neurotransmitters in the brain function increase group was significantly higher than that in the lower group(P<0.05). Compared with the two groups of SCL-90 assessment, the brain function increase group had higher scores in somatic, scary, psychotic component syllables than the decreased group(P<0.05).and the two groups of clinical symptoms compared,the brain function increase group with lower incidence of dizziness, weakness, palpitation, weight loss, and tremor symptoms(P<0.05). Conclusion There were false negatives in the dosage table of patients with anxiety and depression, which showed physical symptoms, while the brain fluctuation map could accurately evaluate the neurotransmitter abnormalities. There were differences in symptom scale and somatic symptom expression between the increase of brain fluctuation transmitter and the decrease of group.
关键词
脑涨落图;焦虑抑郁;躯体症状;神经递质
KeyWord
Encephalofluctuograph; Depression And Anxiety; Somatic Symptoms; Neurotransmitter
基金项目
页码 20-24
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吴孝苹*,景兴文,康卓君. 脑神经递质增高和降低焦虑抑郁患者的临床特点分析 [J]. 国际临床研究杂志. 2022; 6; (4). 20 - 24.

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