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医学临床研究  2019, Vol. 36 Issue (12): 2307-2309    DOI: 10.3969/j.issn.1671-7171.2019.12.007
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帕金森病合并抑郁患者血清TNF-α、5-HT、E、IL-1β变化与抑郁程度相关性分析
徐树平, 王岩, 刘凤国, 欧阳和中, 刘淑艳
江苏省丹阳市人民医院,江苏 丹阳 212300
Relationship between the Changes of Serum TNF-α, 5-HT, E and IL-1β and the Degree of Depression in Patients with Parkinson's Disease Complicated with Depression
XU Shu-ping, WANG Yan, LIU Feng-guo, et al
Internal Medicine-Neurology Danyang People's Hospital Danyang, Jiangsu 212300
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摘要 【目的】探讨帕金森病(PD)合并抑郁症患者血清肿瘤坏死因子-α(TNF-α)、5-羟色胺(5-HT)、肾上腺素(E)及白细胞介素-1β(IL-1β)的变化与患者抑郁程度的关系。【方法】选取2016年1月至2018年7月本院收治的106例PD患者(观察组),选取同期53例健康对象作为对照组。检测两组血清中TNF-α、5-HT、E、IL-1β水平,依据患者汉密尔顿抑郁量表(HAMD-24)评分结果将PD组分为抑郁组和非抑郁组进行分组分析。【结果】观察组血清TNF-α、E、IL-1β高于对照组,血清5-HT水平低于对照组,差异有统计学意义(P<0.05)。抑郁组患者血清TNF-α、E、IL-1β水平高于非抑郁组,血清5-HT水平低于非抑郁组,差异有统计学意义(P<0.05)。合并抑郁症的PD患者的血清TNF-α、E、IL-1β水平与HAMD-24评分均呈正相关性(rTNF-α= 0.411,rE=0.362, rIL-1β=0.446,均P<0.05),血清5-HT水平与HAMD-24评分呈负相关性(r5-HT=-0.507,P<0.05)。【结论】PD合并抑郁症患者血清TNF-α、E、IL-1β水平较单纯PD患者升高、5-HT降低,并且与抑郁病情加重有关。
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关键词 帕金森病/并发症抑郁/并发症肿瘤坏死因子α/血液白细胞介素1β/血液    
Abstract【Objective】To explore the relationship between the changes of serum TNF-α, 5-HT, E and IL-1βin patients with Parkinson's disease (PD) complieted with depression. 【Methods】One hundred and six PD patients (observation group) admitted to our hospital from January 2016 to July 2018 were selected, and 53 healthy subjects in the same period were selected as the control group. The levels of TNF-α, 5-HT, E and IL-1 βin serum of the two groups were measured. The PD group was divided into depression group and non depression group according to the scores of Hamilton Depression Scale (HAMD-24). 【Results】The levels of TNF-α, e, IL-1 β in the serum of the observation group were higher than those of the control group, and the levels of 5-HT in the serum were lower than those of the control group (P<0.05). The levels of TNF-α, E, IL-1βin the depression group were higher than those in the non depression group, and the levels of 5-HT in the depression group were lower than those in the non depression group (P<0.05). The levels of TNF-α, E, IL-1βin serum of PD patients with depression were positively correlated with HAMD-24 scores (rTNF-α= 0.411,rE=0.362, rIL-1β=0.446, all P<0.05), while the levels of 5-HT in serum were negatively correlated with HAMD-24 scores (r5-HT=-0.507, P<0.05). 【Conclusion】The levels of TNF-α, E, IL-1β in the serum of PD patients with depression are higher, and 5-HT are lower than those of PD patients with depression alone.
Key wordsParkinson Disease/CO    Depression/CO    Tumor Necrosis Factor-alpha/BL    Interleukin-1beta/BL
收稿日期: 2019-03-15     
PACS:  R745.7  
引用本文:   
徐树平, 王岩, 刘凤国, 欧阳和中, 刘淑艳. 帕金森病合并抑郁患者血清TNF-α、5-HT、E、IL-1β变化与抑郁程度相关性分析[J]. 医学临床研究, 2019, 36(12): 2307-2309.
XU Shu-ping, WANG Yan, LIU Feng-guo, et al. Relationship between the Changes of Serum TNF-α, 5-HT, E and IL-1β and the Degree of Depression in Patients with Parkinson's Disease Complicated with Depression. JOURNAL OF CLINICAL RESEARCH, 2019, 36(12): 2307-2309.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.12.007     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I12/2307
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