抑郁症患者血液C反应蛋白及纤维蛋白原的检验评价

Detection and evaluation of serum C-reactive protein and fibrinogen in patients with depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(1)
作者
作者单位

焦作煤业(集团)有限责任公司中央医院 ;

摘要
目的:探讨抑郁症患者血液C反应蛋白及纤维蛋白原的水平变化及研究价值。方法:研究选择2016年7月至2018年7月期间本院收治的抑郁症患者55例作为观察组资料,行血液C反应蛋白、纤维蛋白原及其他血液流变学指标检测,行血脂及皮质醇检测,选择同时间段本院接受健康体检者55例作为对照组资料,行相同指标检测,并进行两组比较。结果:观察组C反应蛋白、纤维蛋白原水平与对照组比较明显更高,且差异显著,P<0.05;观察组与对照组血液流变学指标比较均差异显著,其中10.1/s切变速率血液表观粘度偏高,307.2/s切变速率血浆粘度、红细胞沉降率、红细胞压积、红细胞变性指数Tk值、血沉方程K值等则偏低,P<0.05;观察组总胆固醇显著低于对照组,而皮质醇则显著高于对照组,P<0.05。结论:抑郁症患者血液C反应蛋白、纤维蛋白原、血液表观粘度、红细胞压积等血流流变指标与正常人相比均偏高,而且血脂及皮质醇指标也存在异常,提示该群体易患心血管疾病,加强血液指标检测具有重要价值
Abstract
Objective: To investigate the changes of serum C-reactive protein and fibrinogen levels in patients with depression and their research value. Methods: Fifty-five patients with depression admitted to our hospital from July 2016 to July 2018 were selected as the observation group. Blood C-reactive protein, fibrinogen and other hemorheological indexes were tested, blood lipid and cortisol were tested, and 55 healthy people were selected as the control group during the same period. The same indexes were tested and compared between the two groups. Results: The levels of C-reactive protein and fibrinogen in the observation group were significantly higher than those in the control group (P < 0.05). The hemorheological indexes in the observation group and the control group were significantly different, including 10.1/s shear rate, high apparent blood viscosity, 307.2/s shear rate, plasma viscosity, erythrocyte sedimentation rate, hematocrit, Tk value of erythrocyte degeneration index and K value of erythrocyte sedimentation equation. The total cholesterol in the observation group was significantly lower than that in the control group, while cortisol was significantly higher than that in the control group (P < 0.05). CONCLUSION: Blood C-reactive protein, fibrinogen, blood apparent viscosity and hematocrit in patients with depression are higher than those in normal people, and blood lipid and cortisol are abnormal, suggesting that this group is susceptible to cardiovascular diseases. It is of great value to strengthen the detection of blood indicators.
关键词
抑郁症;血液C反应蛋白;纤维蛋白原;血脂;皮质醇
KeyWord
depression; blood C-reactive protein; fibrinogen; lipid; cortisol
基金项目
页码 58-60
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成守金*. 抑郁症患者血液C反应蛋白及纤维蛋白原的检验评价 [J]. 国际精神病学杂志. 2020; 47; (1). 58 - 60.

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