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首发未治疗的精神分裂症患者不同脑区葡萄糖代谢水平∗

胡文生 肖頔 黎娟花 李淑云 史新冲 岳殿超

广东医学2016,Vol.37Issue(6):833-835,836,4.
广东医学2016,Vol.37Issue(6):833-835,836,4.

首发未治疗的精神分裂症患者不同脑区葡萄糖代谢水平∗

Glucose metabolism in various brain regions in first episode drug-naive patients with schizophrenia

胡文生 1肖頔 1黎娟花 1李淑云 1史新冲 2岳殿超2

作者信息

  • 1. 广东省广州市惠爱医院精神科 广州510370
  • 2. 中山大学附属第一医院核医学科 广州510080
  • 折叠

摘要

Abstract

Objective To investigate the basic mechanisms of the pathophysiology of schizophrenia by observing local glucose metabolism in various brain regions in first-episode patients with schizophrenia. Methods Relative regional cerebral glucose metabolism was measured with fluorine-18 deoxyglucose (18F-FDG) positron emission tomography (PET) scan in 18 patients with first-episode untreated schizophrenia who met the diagnostic criteria in the 10th edition of the international classification of diseases (ICD-10) and in 18 healthy individuals. PET data were analyzed using Statis-tical Parametric Mapping ( SPM) and paired t-tests. Regional cerebral glucose metabolism was compared between the two groups. Results Compared with the normal control group, patients with schizophrenia exhibited significant regional cere-bral glucose metabolic abnormalities including increases of glucose metabolism in the left inferotemporal gyrus and left tem-poral fusiform gyrus, decreases of glucose metabolism in the right inferoparietal lobule, right supramarginal gyrus, left in-feroparietal lobule, right postcentral gyrus and right supplementary motor area (P<0. 05). Conclusion A reciprocal glu-cose metabolism pattern is revealed untreated patients with schizophrenia, with enhanced glucose metabolism in the tempo-ral lobe and reduced glucose metabolism in the parietal lobe and the frontal lobe.

关键词

精神分裂症/正电子发射断层扫描/脑葡萄糖代谢

Key words

schizophrenia/PET ( positron emission tomography)/cerebral glucose metabolism

引用本文复制引用

胡文生,肖頔,黎娟花,李淑云,史新冲,岳殿超..首发未治疗的精神分裂症患者不同脑区葡萄糖代谢水平∗[J].广东医学,2016,37(6):833-835,836,4.

基金项目

广东省科技计划项目(编号:粤科规划[2011]112号) (编号:粤科规划[2011]112号)

广东医学

OA北大核心

1001-9448

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