IL-1β、IL-6、IL-10在焦虑症患者血清变化意义研究

Study on the change and clinical significance of IL-1 β , IL-6 and IL-10 in Serum of patients with anxiety Disorder

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(3)
作者
作者单位

许昌市立医院精神卫生心;
理科 ;

摘要
【摘要】 研究白细胞介素1β(IL-1β)、白细胞介素6(IL-6)、白细胞介素10(IL-10)在焦虑症患者血清变化及意义。方法 选取2017年11月~2018年11月我院收治的42例慢性焦虑症患者和42例抑郁症患者分别作为焦虑组和抑郁组,选择同期42例健康体检者作为健康组。两组患者均采用选择性5-羟色胺再摄取抑制剂连续治疗8周。比较健康组健康者与治疗前焦虑组、抑郁组患者血清IL-1β、IL-6、IL-10水平,比较焦虑组、抑郁组两组患者治疗效果,比较焦虑组和抑郁组患者治疗前后血清IL-1β、IL-6、IL-10水平。结果 三组患者血清IL-6、IL-10水平比较差异有统计学意义(P﹤0.05);焦虑组患者IL-6水平显著低于健康组和抑郁组,差异有统计学意义(P﹤0.05);抑郁组患者IL-6水平与健康组比较差异无统计学意义(P>0.05)。焦虑组和抑郁组患者IL-10水平显著高于健康组,差异有统计学意义(P﹤0.05);焦虑组患者IL-10水平与抑郁组比较差异无统计学意义(P>0.05)。焦虑组患者治疗后SCL90总评分、抑郁组患者治疗后HAMD评分显著低于治疗前,差异有统计学意义(P﹤0.05)。两组患者经过治疗后IL-1β、IL-6、IL-10水平均有显著改善(P﹤0.05),治疗后两组患者IL-1β、IL-6、IL-10水平比较差异无统计学意义(P>0.05)。结论 焦虑症和抑郁症与健康者具有不同免疫机制,可通过血清IL-10鉴别;此外,焦虑症和抑郁症也具有不同的免疫机制,可通过血清IL-6鉴别。
Abstract
【Abstract】 Objective To study the change and significance of interleukin 1β (IL-1β), interleukin 6 (IL-6) and interleukin 10 (IL-10) in patients with anxiety disorder. Methods From November 2017 to November 2018, 42 patients with chronic anxiety disorder and 42 patients with depression were selected as anxiety group and depression group, and 42 healthy persons were selected as healthy group. The patients were treated with selective serotonin reuptake inhibitor in anxiety group and depression group for 8 weeks. The levels of serum IL-1βand IL-6,IL-10 were compared between healthy subjects and anxiety group and depression group before treatment. The therapeutic effects of anxiety group and depression group were compared. The levels of serum IL-1βand IL-6,IL-10 in anxiety group and depression group were compared before and after treatment.Results There was significant difference in serum IL-6,IL-10 level among the three groups (P﹤0.05).The level of IL-6 in anxiety group was significantly lower than that in healthy group and depression group, the difference is statistically significant(P﹤0.05), but there was no significant difference in IL-6 level between depression group and healthy group (P>0.05).The level of IL-10 in anxiety group and depression group was significantly higher than that in healthy group, the difference is statistically significant(P﹤0.05), but there was no significant difference in IL-10 level between anxiety group and depression group (P>0.05).The total score of SCL90 in the anxiety group and the HAMD score in the depression group after treatment were significantly lower than those before treatment, the difference is statistically significant(P﹤0.05).The levels of IL-1, IL-6 and IL-10 in the two groups were significantly improved after treatment (P <0.05). There was no significant difference in the levels of IL-1 β and IL-6,IL-10 between the two groups after treatment (P>0.05).Conclusion Anxiety disorder, depression and healthy people have different immune mechanisms, can be differentiated by serum IL-6,IL-10. Anxiety disorder and depression also have different immune mechanisms, which can be identified by serum IL-6.
关键词
【关键词】 焦虑症;白细胞介素1β;白细胞介素6;白细胞介素10;免疫学;临床意义
KeyWord
【keywords】 Anxiety disorder; interleukin 1β; interleukin 6; interleukin 10; immunology; clinical significance
基金项目
页码 425-427
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朱铮*. IL-1β、IL-6、IL-10在焦虑症患者血清变化意义研究 [J]. 国际精神病学杂志. 2019; 46; (3). 425 - 427.

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