MMSE评分27分以上帕金森病患者促炎症因子与焦虑抑郁、睡眠障碍间及疲劳的相关性分析

The relationship of PDs pro-inflammatory substances with FS-14 , HAMA, HAMD, PSQI

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(4)
作者
作者单位

延安大学咸阳医院 ;
陕西省人民医院神经内二科 ;

摘要
【摘要】目的:探讨帕金森病(PD)外周血促炎症物质与疲劳、焦虑、抑郁、睡眠障碍间的关系。方法:择取已经确诊的83例PD患者作为研究组,同时择取80例健康者作为对照组。检测上述研究对象外周血促炎物质[IL-6(白细胞介素-6)、SIL-2R(血清可溶性白介素2受体)、TNF-α(肿瘤坏死因子-α)、hs-CRP(超敏C反应蛋白)]的分泌水平,采用疲劳量表FS-14、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、匹兹堡睡眠质量指数量表(PSQI)对两组研究对象进行疲劳、焦虑、抑郁、睡眠障碍症状的分析评定,并探讨PD外周血促炎症物质与上述症状的关系。结果:①研究组患者中IL-6(20.2±2.3)、SIL-2R(295.2±53.5)、TNF-α(397.3±59.4)、hs-CRP(5.2±0.6)的含量水平均明显高于对照组,差异有统计学意义(P<0.05);②研究组患者的FS-14疲劳量表(12.6±2.8)、HAMA(19.4±2.3)、HAMD(22.1±1.2)、PSQI(19.7±2.9)的评分分值均显著高于对照组,且差异有统计学意义(P<0.05);③a.IL-6与HAMA、HAMD及PSQI呈正相关关系,与FS-14疲劳量表呈负相关性,但P均>0.05,表示两者相关性无统计学意义;b.SIL-2R与HAMA、HAMD、FS-14疲劳量表、PSQI呈正相关,但仅与HAMA、HAMD有显著相关性(P<0.05);c.hs-CRP与HAMA、HAMD呈正相关,且有显著相关性(P<0.05),与FS-14疲劳量表、PSQI呈负相关,无显著相关性(P均>0.05);d.TNF-α与与HAMA、HAMD呈正相关,与FS-14疲劳量表、PSQI呈负相关,但P均>0.05,表示两者相关性无统计学意义。结论:hs-CRP和SIL-2R与PD病人的抑郁、焦虑评分有显著的正相关性,与疲劳、睡眠障碍无显著正负相关性;而其他促炎物质与疲劳、焦虑、抑郁、睡眠障碍均无显著正负相关性
Abstract
【Abstract】Objective: Discussing the relation between Parkinsons disease peripheral pro-inflammatory substances and fatigue, anxiety, depression, sleep disorders among.Methods:Choosing 83 people as study group, and choose 80 healthy people as control group. Detecting the relation between peripheral blood pro-inflammatory substances which included IL-6,IL-1β,SIL-2R,TNF-α,hs-CRP and FS-14,HAMA,HAMD,PSQI.Results:①The IL-6, IL-1β, SIL-2R, TNF-α, hs-CRP in the study group were significantly higher than them in the control group;②The FS-14 , HAMA, HAMD, PSQI scores in the study group were significantly higher than them in the control group;③a.IL-6 was positively correlated with HAMA, HAMD and PSQI ,and negatively correlated with FS-14,but there were no significant correlation between them(P> 0.05);b.SIL-2R was positively correlated with HAMA,HAMD,FS-14,PSQI,but only had significant correlation with HAMA,HAMD(P<0.05);c.hs-CRP was positively correlated with HAMA,HAMD ,and negatively correlated with FS-14,PSQI;but only had significant correlation with HAMA,HAMD(P<0.05);d.TNF-αwas positively correlated with HAMA,HAMD ,and negatively correlated with FS-14,PSQI,but there were no significant correlation between them(P> 0.05).Conclusions:hs-CRP and SIL-2R had significantly positively correlation with PD patients’depression and anxiety scores ,and no significant correlation with FS-14,PSQI.And others pro-inflammatory substances were no significant correlation with HAMA,HAMD,FS-14,PSQI.
关键词
【关键词】帕金森病;促炎症物质;HAMA;HAMD;PSQI;疲劳量表FS-14
KeyWord
【Key words】PD;Pro-inflammatory substances;HAMA;HAMD;PSQI;FS-14 fatigue scale
基金项目
页码 594-596
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韩霞*,王丙聚,黄宇青,张亚锋,雷琦. MMSE评分27分以上帕金森病患者促炎症因子与焦虑抑郁、睡眠障碍间及疲劳的相关性分析 [J]. 国际精神病学杂志. 2016; 43; (4). 594 - 596.

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