四川精神卫生2024，Vol.37Issue(4)：323-329,7.DOI:10.11886/scjsws20230927002
住院精神分裂症患者炎症因子水平与代谢、语言流畅性和信息处理功能的关系
Relationship between inflammatory factor levels with metabolism,verbal fluency and information processing function in hospitalized schizophrenia patients
摘要
Abstract
Background Schizophrenic patients have metabolic disorders,impaired language and information processing function.Inflammatory factors may play an important role in the occurrence and development of schizophrenia.Objective To explore the relationship of the inflammatory factor levels with metabolic levels,language fluency and information processing function in patients with schizophrenia,so as to provide references for clinical understanding of the neuropathological mechanisms of schizophrenia.Methods A total of 96 patients with schizophrenia were included in the study group,who were hospitalized in the Fourth People's Hospital of Hefei from January 2021 to December 2022 as well as met the diagnostic criteria of Diagnostic and Statistical Manual of Mental Disorders,fifth edition(DSM-5)and Mini-International Neuropsychiatric Interview(MINI)6.0.Meanwhile,population who underwent physical examination at the same hospital were included in the control group(n=42).A high-sensitivity multi factor electrochemiluminescence analyzer was used to detect the levels of inflammatory factors IL-4,IL-5,IL-7,IL-8,IL-10 and IL-13.A fully automated biochemical analyzer was used to detect the levels of metabolic indicators such as fasting blood glucose,triglycerides,high-density lipoprotein,apolipoprotein A,creatinine and urea nitrogen.Verbal fluency and information processing function of all participants were assessed by using Verbal Fluency Test(VFT)and Stroop Color Word Test(SCWT).Results There were statistically significant differences in the levels of IL-4,IL-5,IL-7,IL-8,IL-10,IL-13 and IL-15 between the study group and the control group(P<0.05).There were statistically significant differences in BMI,waist circumference,fasting blood glucose,triglycerides,high-density lipoprotein,urea nitrogen,apolipoprotein A and creatinine levels between the two groups(P<0.05).The differences in the correct number of household appliances,animals,fruits,vegetables,names starting with"water"and"self"in VFT between the two groups were statistically significant(P<0.05).The differences in point reaction time,character reaction time and character color reaction time in SCWT between the two groups were statistically significant(P<0.05).Correlation analysis showed that except for creatinine levels,the levels of IL-4 and IL-5 in patients with schizophrenia were correlated with other indicators(P<0.05).IL-7 levels were correlated with creatinine levels,household appliances,animals,fruits,correct number of names starting with"water"in VFT,point reaction time and word reaction time in SCWT(P<0.05).IL-8 levels were correlated with triglyceride levels,household appliances,animals,fruits,vegetables,correct number of names starting with"water"and"self"in VFT and word reaction time in SCWT(P<0.05).Except for creatinine levels and the correct number of names starting with"self",IL-10 levels were correlated with all other indicators(P<0.05).Except for creatinine and urea nitrogen levels,IL-13 levels were correlated with other indicators(P<0.05).Conclusion The levels of inflammatory factors in patients with schizophrenia may be related to their metabolic levels,language fluency and information processing function.关键词
精神分裂症/炎症因子/代谢水平/语言流畅性/信息处理功能Key words
Schizophrenia/Inflammatory factor/Metabolic level/Verbal fluency/Information processing function分类
临床医学引用本文复制引用
王聪,朱翠珍,张雪莹,高桦,潘忠德,程健,杨德英,郑明明,张许来..住院精神分裂症患者炎症因子水平与代谢、语言流畅性和信息处理功能的关系[J].四川精神卫生,2024,37(4):323-329,7.基金项目
2022年安徽省重点研究与开发计划立项项目(项目名称:基于CaMKK2/AMPK信号通路改善肠道菌群紊乱引发的精神分裂症伴代谢综合征的应用机制,项目编号:2022e07020002) Funded by Anhui Province Key Research and Development Plan Project(number,2022e07020002) （项目名称:基于CaMKK2/AMPK信号通路改善肠道菌群紊乱引发的精神分裂症伴代谢综合征的应用机制,项目编号:2022e07020002）
