高龄抑郁症患者血清BDNF、SP、IL-18表达情况及临床意义

Expression Situation of Serum BDNF, SP and IL-18 in Elderly Patients with Depression and Its Clinical Significance

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(1)
作者
作者单位

河南省驻马店市精神病医院 ;
驻马店市精神病医院医务科 ;
驻马店市精神病医院康复科 ;
驻马店市精神病医院儿童少年科 ;
驻马店市精神病医院精神九科 ;

摘要
【摘要】研究高龄抑郁症患者血清BDNF、SP、IL-18表达情况及临床意义。方法 选择本院2016年7月—2018年1月128例高龄抑郁症患者作为研究对象,根据抑郁自评量表(Self-rating depression scale,SDS)评分将其分为轻度抑郁组(40例)、中度抑郁组(45例)、重度抑郁组(43例);另选择40例体检健康者作为对照组。比较四组的血清BDNF、SP、IL-18水平和汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、生活质量量表(WHOQOL-BREF)。结果 对照组的血清DBNF水平显著高于中度、重度抑郁组,SP、IL-18水平显著低于轻度、中度、重度抑郁组,差异均有统计学意义(P<0.05);对照组与轻度抑郁组的血清DBNF水平比较,差异无统计学意义(P>0.05)。对照组的HAMD、HAMA评分显著低于轻度、中度、重度抑郁组,差异均有统计学意义(P<0.05)。对照组的WHOQOL-BREF总分显著高于轻度、中度、重度抑郁组,差异均有统计学意义(P<0.05)。结论 血清BDNF、SP、IL-18水平对预测高龄患者抑郁症程度有较高的临床价值,能为患者预后的生活质量及治疗效果提供科学依据。
Abstract
[Abstract] Objective To study the expression situation of serum BDNF, SP and IL-18 in elderly patients with depression and its clinical significance. Methods A total of 128 elderly patients with depression treated in our hospital from the hospital from July 2016 to January 2018 were selected as the study subjects. According to the Self-rating depression scale (SDS) score, they were divided into mild depression group (40 cases), moderate depression group (45 cases), and severe depression group (43 cases). Another 40 healthy people were selected as the control group. The serum levels of BDNF, SP, IL-18 and the Hamilton Depression Scale (HAMD), the Hamilton Anxiety Scale (HAMA), and the Quality of Life Scale (WHOQOL-BREF) were compared among the four groups. Results Serum DBNF levels in the control group were significantly higher than those in the moderate and severe depression groups. SP and IL-18 levels were significantly lower than those in the mild, moderate, and severe depression groups (P<0.05). There was no significant difference in serum DBNF levels between the control group and the mild depression group (P>0.05). The HAMD and HAMA scores of the control group were significantly lower than those of the mild, moderate, and severe depression groups, and the differences were statistically significant (P<0.05). The total score of WHOQOL-BREF in the control group was significantly higher than that in the mild, moderate, and severe depression groups, and the difference was statistically significant (P<0.05). Conclusion Serum BDNF, SP, IL-18 levels have a high clinical value in predicting the degree of depression in elderly patients, and can provide a scientific basis for the quality of life and treatment effect of patients with prognosis.
关键词
【关键词】高龄;抑郁症;血清BDNF、SP、IL-18;生活质量
KeyWord
Key words Old Age; Depression; Serum BDNF, SP, IL-18; Quality of Life
基金项目
页码 63-65
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赵指亮*,范大庆,李小青,郭平,郭俊峰. 高龄抑郁症患者血清BDNF、SP、IL-18表达情况及临床意义 [J]. 国际精神病学杂志. 2019; 46; (1). 63 - 65.

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