不同病程精神分裂症患者血清GAD-Ab含量及阳性检出率的比较分析

Comparative analysis of serum GAD-Ab contents and positive rates of schizophrenia patients with dif-ferent disease courses.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(1)
作者
作者单位

山东省沂水县人民医院 ;
山东省临沂市第二人民医院 ;

摘要
检测不同病程的精神分裂症患者血清谷氣酸脱装略抗体 ( GAD-Ab含量及阳性率。方法 选取174例精神分裂症患者为研究对象,根据病程分为 A组(病程小于5年, n= 104)和B组(病程为5年及以上, n=70)两组,以174例精神正常志愿者为对照组(C组)。 对比三组患者血清 GAD-Ab含量差异及其阳性检出率。结果 ①A组患者的血清 GAD-Ab值为(1.43±0.44),为三组最高,同 B组的(1.25±0.30)和C纽的(0.50±0.27)对比差异明显(P <0.01);而 C组GAD-Ab含量为三组最低,同 A、 B两组对比亦具有统计学意义(P<0.01);②C纽无一例满足血清 GAD-Ab阳性检测标准,而 A组阳性检出31例,为三组最高,检出率达到29.81%,同 B组的15.71%与 C组的 0.00%对比差异明显(P<0.01)。结论 精神分裂症患者血清 GAD-Ab含量及阳性检出率显著高于精神正常者, 血清 GAD-Ab水平测定在精神正常与精神分裂症之间具有一定的区分参考价值。
Abstract
〇bjective To explore the content and positive rate of serum GAD-Ab in the patients with differ-ent course of schizophrenia. Methods 174 cases of schizophrenia patients were taken as the research object, they were divided into group A(disease course less than5 years, n=104) and group B(disease course was5 years or more, n=70) according to the disease course, simultaneously, 174 cases of psychological normal volunteers were enrolled in the control group(group C). The serum GAD-Ab contents and positive rate of the Lhree groups were compared and analyzed. Results ①The serum GAD-Ab content of group A was(1.43+0.44) was considerably higher than that of group B(1.25+0. 30) and group C(0. 50+0.27) (P<0.01). The serum GAD-Ab contents of group C was the1owest, which has statistica1 differences with group A and group B.② There was no positive case of serum GAD-Ab in group C, 31 positive cases were detected in group A(positive rate was29. 81%) , and its posi- tive rate was the highest in three groups, it has obvious difference with group B(15.71%) and group C(0.00%) (P<0.01). Conclusion The content and positive rate of serum GAD-Ab of schizophrenia patients were signifi- cantly higher than that of normal controls, thus the determination of GAD-Ab has certain reference value in distin- guishing normal controls and schizophrenia.
关键词
精神分裂症;血清GAD-Ab;阳性率
KeyWord
Schizophrenia; Serum GAD-Ab; Positive rate
基金项目
页码 18-20
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孙岩*,黄建国,李兆艳,李桂亮. 不同病程精神分裂症患者血清GAD-Ab含量及阳性检出率的比较分析 [J]. 国际精神病学杂志. 2016; 43; (1). 18 - 20.

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