青少年抑郁症患者两侧额叶CT诊断分析

Diagnostic Analysis of Frontal Lobe CT on Both Sides in Adolescents with Depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2025, 52(2)
作者
作者单位

唐山市第五医院

摘要
【摘要】目的 进行青少年抑郁症患者两侧额叶CT诊断分析,探讨青少年抑郁症的神经病理机制。方法 以2021年5月-2024年7月150例青少年抑郁症患者为研究对象,进行颅脑CT检查,纳入一般资料配对的150例健康体检人员的颅脑CT资料,分别设抑郁症组以及正常组。比较两组两侧额叶CT值。比较抑郁症组不同抑郁程度、年龄、性别、病程患者两侧额叶CT值。结果 抑郁症组左侧额叶CT均值显著低于正常组,(P<0.05),右侧额叶CT均值差异无显著性(P>0.05);重度抑郁组左侧额叶CT值低于轻中度组,病程≥3年组左侧额叶CT值低于病程<3年组,(P<0.05),不同年龄、性别左侧额叶CT值差异无显著性(P>0.05),不同抑郁成都、不同病程右侧额叶CT值差异无显著性(P>0.05)。结论 青少年抑郁症患者左侧额叶改变较右侧明显,表现为CT值下降,且CT值下降程度可能与抑郁程度、病程等有关。
Abstract
[Abstract] Objective To perform a diagnostic analysis of frontal lobe CT on both sides of adolescent depression patients and explore the neuropathological mechanisms of adolescent depression. Methods Cranial CT examination was performed on 150 cases of adolescent depression from May 2021 to July 2024, and the cranial CT data of 150 cases of health checkups paired with general data were included, and the depression group as well as the normal group were set up respectively. Compare the frontal lobe CT values on both sides of the two groups. Comparison of frontal lobe CT values of both sides of patients with different degrees of depression, age, gender and duration of disease in the depression group. Results The mean left frontal lobe CT value of the depression group was significantly lower than that of the normal group (P<0.05). The difference in mean right frontal CT values was not significant (P>0.05). The left frontal lobe CT values were lower in the severe depression group than in the mild-moderate group, and the left frontal lobe CT values were lower in the ≥3 years disease duration group than in the <3 years disease duration group (P<0.05). The difference in left frontal lobe CT values between different ages and genders was not significant (P>0.05). The difference in right frontal lobe CT values between different depression Chengdu and different disease duration was not significant (P>0.05). Conclusion Left frontal lobe changes are more pronounced in adolescent depression patients than in the right side, as evidenced by decreased CT values, and the degree of decreased CT values may be related to the degree of depression, the duration of the disease, and so on.
关键词
关键词:青少年;抑郁症;两侧额叶;CT
KeyWord
Key words Adolescent; Depression; Bilateral Frontal Lobe; CT
基金项目
页码 467-470
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周莉萍. 青少年抑郁症患者两侧额叶CT诊断分析 [J]. 国际精神病学杂志. 2025; 52; (2). 467 - 470.

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