四川精神卫生
四川精神衛生
사천정신위생
SICHUAN MENTAL HEALTH
2015年
3期
224-226,227
,共4页
刘芙蓉%周平%刘联琦%谢永标
劉芙蓉%週平%劉聯琦%謝永標
류부용%주평%류련기%사영표
精神分裂症%抑郁症状%血清皮质醇%甲状腺功能
精神分裂癥%抑鬱癥狀%血清皮質醇%甲狀腺功能
정신분렬증%억욱증상%혈청피질순%갑상선공능
Schizophrenia%Depressive symptoms%Serum cortisol%Thyroid function
目的探讨伴有抑郁症状的精神分裂症患者的血清皮质醇( COR)及甲状腺功能特征。方法采用免疫化学发光法检测伴有抑郁症状的精神分裂症患者( A组)58例、不伴有抑郁症状的精神分裂症患者( B组)57例、抑郁症患者( C组)58例治疗前及治疗后6周的COR及甲状腺功能,以健康对照组( D组)60例为参考。结果 A、B两组的COR水平均高于D组(P﹤0.05)。A、C两组TT4、FT3及TSH与D组比较差异有统计学意义(P﹤0.05)。其余指标四组间比较差异均无统计学意义。治疗后A、C两组FT4较治疗前低( P﹤0.05)。B组TT4治疗前后差异有统计学意义( P﹤0.05)。ABC三组患者治疗后的有效率分别为84.5%、82.4%、79.3%,组间比较差异无统计学意义(P﹥0.05)。治疗后三组COR水平均下降,与对照组比较差异均无统计学意义(P﹥0.05)。结论伴有抑郁症状的精神分裂症患者甲状腺功能存在一定变化,甲状腺激素水平可能与抑郁症状有关。
目的探討伴有抑鬱癥狀的精神分裂癥患者的血清皮質醇( COR)及甲狀腺功能特徵。方法採用免疫化學髮光法檢測伴有抑鬱癥狀的精神分裂癥患者( A組)58例、不伴有抑鬱癥狀的精神分裂癥患者( B組)57例、抑鬱癥患者( C組)58例治療前及治療後6週的COR及甲狀腺功能,以健康對照組( D組)60例為參攷。結果 A、B兩組的COR水平均高于D組(P﹤0.05)。A、C兩組TT4、FT3及TSH與D組比較差異有統計學意義(P﹤0.05)。其餘指標四組間比較差異均無統計學意義。治療後A、C兩組FT4較治療前低( P﹤0.05)。B組TT4治療前後差異有統計學意義( P﹤0.05)。ABC三組患者治療後的有效率分彆為84.5%、82.4%、79.3%,組間比較差異無統計學意義(P﹥0.05)。治療後三組COR水平均下降,與對照組比較差異均無統計學意義(P﹥0.05)。結論伴有抑鬱癥狀的精神分裂癥患者甲狀腺功能存在一定變化,甲狀腺激素水平可能與抑鬱癥狀有關。
목적탐토반유억욱증상적정신분렬증환자적혈청피질순( COR)급갑상선공능특정。방법채용면역화학발광법검측반유억욱증상적정신분렬증환자( A조)58례、불반유억욱증상적정신분렬증환자( B조)57례、억욱증환자( C조)58례치료전급치료후6주적COR급갑상선공능,이건강대조조( D조)60례위삼고。결과 A、B량조적COR수평균고우D조(P﹤0.05)。A、C량조TT4、FT3급TSH여D조비교차이유통계학의의(P﹤0.05)。기여지표사조간비교차이균무통계학의의。치료후A、C량조FT4교치료전저( P﹤0.05)。B조TT4치료전후차이유통계학의의( P﹤0.05)。ABC삼조환자치료후적유효솔분별위84.5%、82.4%、79.3%,조간비교차이무통계학의의(P﹥0.05)。치료후삼조COR수평균하강,여대조조비교차이균무통계학의의(P﹥0.05)。결론반유억욱증상적정신분렬증환자갑상선공능존재일정변화,갑상선격소수평가능여억욱증상유관。
Objective To discuss the serum cortisol and thyroid function features of depressive disorder in schizophrenia. Meth-ods Immunology chemiluminescence method was applied to detecte the serum cortisol and thyroid function features of 58 patients with schizophrenia( group A),57 schizophrenia without depressive disorder( group B),and 58 depressed patients( group C). The compra=sion was ketween pre therapy and 6 weed posttreatment. with 60 health volunteers( group D). Results The COR levels of group A and B were significantly higher than group D(P﹤0.05). There were significant difference ketween group A and C in TT4,FT3 and TSH(P﹤0. 05). The FT4 of group A and C were lower than that of after treatment. There was significant difference ketween pre-treatment and post-treatment in group B(P ﹤0. 05). The effective rate of treatment of the three groups were 84. 5%,82. 4%, 79. 3%. The difference among the three groups were not significant(P﹥0. 05). COR of three groups had descend after treatment,kut there was no significant difference ketween the three groups and the control group(P﹥0. 05). Conclusion Thyroid function of de=pressive disorder in schizophrenic may have some changes. Depression is related to the level of thyroxine hormone.