血清白介素-6(IL-6)水平检测在双相精神障碍诊断中的应用

Serum interleukin -6 (IL-6) application level detection in the diagnosis of bipolar disorder

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(3)
作者
作者单位

湖北省黄梅县人民医院 检验科 ;

摘要
摘要:目的:观察分析血清白介素-6水平检测在双相精神障碍诊断中的应用效果。方法:选择2015年1月~2016年12月于我院就诊的双相精神障碍患者92例,采用YMRS量表、HAMD量评估,分为双相狂躁组(n=64)与双相抑郁组(n=28),并选择健康者30例作为对照组,采用酶联免疫吸附试验检测各组血清细胞因子水平,并进行对比。结果:入组时,三组血清IL-2、IL-1β水平对比差异不显著,无统计学意义(P>0.05);双相狂躁组及双相抑郁组患者的血清IL-6水平显著高于对照组(P<0.05)。治疗后,双相狂躁组患者的的IL-6水平、YMRS评分及双相抑郁组患者的IL-6水平、HAMD评分均显著低于治疗前(P<0.05);双相狂躁组与双相抑郁组患者治疗前后的IL-6水平与HAMD、YMRS评分之间对比差异具有正相关(P<0.05)。结论:双相精神障碍患者狂躁症、抑郁症发作与血清IL-6水平具有相关性,发作时可能存在IL-6诱导的免疫功能异常。
Abstract
Abstract: Objective: To observe the application effect of the detection of serum interleukin -6 levels in the diagnosis of bipolar disorder. Methods: The January 2015 ~2016 year in December in our hospital 92 cases of patients with bipolar disorder, assessed by YMRS scale, HAMD scale, divided into two groups (n=64) and the manic phase of bipolar depression group (n=28), and 30 healthy cases as the control group, by enzyme linked immunosorbent assay the level of serum cytokines were detected and compared. Results: In the group, three groups of serum IL-2, IL-1 levels compared no significant difference, no statistical significance (P>0.05); bipolar manic bipolar depression group and serum IL-6 level was significantly higher than that of control group (P<0.05). After treatment, patients with IL-6 level, YMRS score and bipolar depression patients IL-6 level and HAMD score were significantly lower than those before the treatment of bipolar mania (P<0.05); comparing the difference between IL-6 level and HAMD, before and after the bipolar manic depression and double group group YMRS score has positive correlation (P<0.05). Conclusion: Patients with mania and depression disorder associated with serum IL-6 levels with bipolar, the presence of immune IL-6 induced abnormal attack.
关键词
关键词:双相精神障碍;血清白介素-6;诊断
KeyWord
Keywords:Bipolar disorder; serum interleukin -6; diagnosis
基金项目
页码 401-403
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钱晓娟*,周新明,胡风涛. 血清白介素-6(IL-6)水平检测在双相精神障碍诊断中的应用 [J]. 国际精神病学杂志. 2017; 44; (3). 401 - 403.

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