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高压氧对卒中后抑郁患者5-HT及 NE的影响

李文 张为 胡才友 梁庆华 陈晖 张志格 庞国防

广西医学Issue(6):688-691,4.
广西医学Issue(6):688-691,4.DOI:10.11675/j.issn.0253-4304.2013.06.08

高压氧对卒中后抑郁患者5-HT及 NE的影响

Influence of Hyperbaric Oxygen on 5-HT and Norepinephrine in Patients with Post-Stroke Depression

李文 1张为 1胡才友 1梁庆华 1陈晖 1张志格 1庞国防1

作者信息

  • 1. 广西壮族自治区江滨医院,南宁市 530022
  • 折叠

摘要

Abstract

Objective To investigate the clinical effect of hyperbaric oxygen on 5-HT and norepinephrine (NE) in patients with post-stroke depression (PSD).Methods Ninety PSD patients were randomly divided into 3 groups(treatment group 1,treatment group 2 and control group with 30 cases in each group).On the basis of conventional treatment,the treatment group 1 was given hyperbaric oxygen and treatment group 2 was given hyperbaric oxygen plus venlafaxine orally,while the control group was given venlafaxine orally .The changes of AHMD score,MIESS score and ADL score were observed and the serum contents of 5-HT and NE were detected before and after treatment in each group.The results were analyzed statistically .Results The scores of HAMD and MIESS in each group decreased after treatment,and the ADL scores increased(P<0.05).The decrease of HAMD and MIESS scores and the increase of ADL score in the treatment group 2 were the largest,which were the smallest in the control group (P<0.01);5-HT and NE of each group increased after treatment (P<0.05),the increase of 5-HT and NE was the largest in the treatment group 2,which was the smallest in the control group (P<0.01).Conclusion Hyperbaric oxygen can realize the purpose of the treatment of PSD patients mainly by improving the neurotransmitter concentrations of NE and 5-HT, which can effectively control the occurrence of PSD and improve the patients′neural function and ability of daily life .

关键词

脑卒中后抑郁/去甲肾上腺素/5-羟色胺/高压氧/文拉法辛

Key words

Post-stroke depression/Norepinephrine/5-HT/Hyperbaric oxygen/Venlafaxine

分类

医药卫生

引用本文复制引用

李文,张为,胡才友,梁庆华,陈晖,张志格,庞国防..高压氧对卒中后抑郁患者5-HT及 NE的影响[J].广西医学,2013,(6):688-691,4.

基金项目

广西卫生厅科研立项课题 ()

广西医学

OACSTPCD

0253-4304

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