精神分裂症患者激越症状与炎症标志物的相关性研究
中山市第三人民医院
目的 探讨精神分裂症患者血清白介素6(IL-6)、中性粒细胞/淋巴细胞比值(NLR)与激越症状的相关性。方法 选取中山市第三人民医院2022年7月至2023年7月新住院伴有激越症状的精神分裂症患者45例为研究组,同时选取45例基本资料相匹配的不伴有激越症状的精神分裂症患者为对照组;两组受试者入组后均使用阳性和阴性症状量表(PANSS)、阳性与阴性症状-激越项目量表(PANSS-EC)评定精神症状,抽取静脉血后检测两组血清IL-6水平、中性粒细胞及淋巴细胞水平,并计算NLR值。结果 研究组的IL-6水平及NLR值均升高(IL-6:3.595±3.056 pg/L vs. 1.500±0.503 pg/L;NLR:7.399±1.103 vs. 1.327±0.198),差异具有统计学意义(P<0.05);分析研究组,患者的IL-6水平表达与PANSS-EC因子分(r=0.52,P<0.05)呈正相关;NLR值与PANSS-EC(r=0.37,P<0.05)呈正相关。结论 精神分裂症患者血清中IL-6的表达水平及NLR值均高于对照组,血清IL-6水平及NLR值可能与精神分裂症患者的激越症状相关。
Objective To investigate the correlation between serum interleukin-6(IL-6), neutrophil-to-lymphocyte ratio(NLR), and psychiatric symptoms in schizophrenia patients. Methods 45 newly admitted schizophrenia patients with agitation symptoms who were hospitalized at Zhangshan Third People's Hospital from July 2022 to July 2023 were selected as the research group. At the same time, 45 schizophrenia patients without agitation symptoms with matching basic information were selected as the control group. Both groups were assessed using the Positive and Negative Syndrome Scale(PANSS) and PANSS-Excited Component(PANSS-EC). Venous blood samples were collected to measure serum IL-6 levels and calculate NLR values. Results The levels of IL-6 and NLR in the research group were both elevated(IL-6: 3.595±3.056 pg/L vs. 1.500±0.503 pg/L, NLR: 7.399±1.103 vs. 1.327±0.198), and the differences were statistically significant(P<0.05). Analying the research group, the expression of patients' IL-6 PANSS-EC factor score(r=0.52, P<0.05). The NLR value was positively correlated with PANSS-EC(r=0.37, P<0.05). Conclusion Schizophrenia patients with agitation exhibit significantly higher serum IL-6 levels and NLR values compared to non-agitated patients, suggesting these biomarkers may be associated with agitation symptoms in schizophrenia.
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共 19 条- [1]Iozzino L,Ferrari C,Large M,et al. Prevalence and Risk Factors of Violence by Psychiatric Acute Inpatients:A Systematic Review and Meta-Analysis[J].PLoS One,2015,10(6):e0128536.
- [2]曹永康,陆爱益,黄小权.精神病激越的治疗进展[J].中外医疗,2020,39(32):196-198.
- [3]Baandrup L. Polypharmacy in schizophrenia[J]. Basic Clin Pharmacol Toxicol,2020,126(3):183-192.
- [4]Gibson CL,Bassir Nia A,Spriggs SA,et al.Cannabinoid use in psychotic patients impacts inflammatory levels and their association with psychosis severity[J]. Psychiatry Res,2020,293:113380.
- [5]Yamamoto S,Ohta N,Matsumoto A,et al. Haloperidol Suppresses NF-kappaB to Inhibit LipopolysaccharideInduced Pro-Inflammatory Response in RAW 264 Cells[J]. Med Sci Monit,2016,22:367-72.
- [6]Kachouchi A,Sebbani M,Akammar S,et al.C-reactive protein and agitation in patients with schizophrenia:A cohort study with a control group[J].Encephale,2020,46(4):264-268.
- [7]崔萌,张辉,王渭华,等.注射用甲磺酸齐拉西酮合并口服抗精神病药治疗精神分裂症激越的疗效与安全性的临床对照[J].临床精神医学杂志,2020,30(6):421-423.
- [8]吴杰.白细胞介素6与精神分裂症的相关性研究进展[J].国际精神病学杂志,2019,(5):772-775.
- [9]费小聪,陈海支,郑燕妮.精神分裂症患者NLR、氧化应激参数与精神症状的相关性[J].浙江医学,2017,39(6):449-451.
- [10]王海燕,曹建锋,符丽萍,等.基于抗精神病药物基因检测的住院精神分裂症患者临床用药的效果观察[J].四川精神卫生,2024,37(5):420-426.
- [11]于晨旸,朱文礼,卜杨莹,等.精神分裂症患者血清炎性细胞因子水平与临床症状及疗效的相关性[J].国际精神病学杂志,2024,51(6):1720-1723.
- [12]王博,韩超,张翔,等.整合式心理护理对首发未用药精神分裂症患者激越症状、社会功能的影响[J].国际精神病学杂志,2023,50(6):1535-1538.
- [13]龚毅,王勉,吴东妮娅,等.首发精神分裂症患者血清IL-6、IL-2水平的对照研究[J].临床研究,2023,31(12):17-19.
- [14]冯薇,贾强,谭淑平,等.稳定期精神分裂症患者血浆炎症因子与症状相关性研究[J].中国神经精神疾病杂志,2020,46(3):145-148.
- [15]Chen Y,Dai J,Tang L,et al. Neuroimmune transcriptome changes in patient brains of psychiatric and neurological disorders[J]. Mol Psychiatry,2023,28(2):710-721.
- [16]文万军.血清白介素-6水平与精神分裂症伴抑郁症状之间的关系[J].上海交通大学学报(医学版),2020,(12):1618-1620.
- [17]卢丹玉,刘国艳,杨通飞,等.白细胞介素-6与精神分裂症的关联性研究[J].临床医学研究与实践,2024,9(8):31-34.
- [18]Ling L,Wang M,Du W,et al. Development and validation of a neutrophil-lymphocyte ratio-based nomogram for suicidal ideation in first-episode drugnaïve schizophrenia patients:A large-scale crosssectional study[J]. Schizophrenia Research,2025,281:164-174.
- [19]Sugita S,Tomioka H,Mera K,et al. NeutrophilLymphocyte Ratio in Patients With Acute Schizophrenia[J]. Cureus,2024,16(1):e52181.
| 文章编号 | 2026-02-044(期号内编号) |
|---|---|
| 栏目 | 检验与方法 |
| 作者 | 胡静;平军娇;邓文丽;范洪峰;万静;蒋廷云 |
| 作者单位 | 中山市第三人民医院 |
| 通信邮箱 | fhf5156@163.com; |
| 基金项目 | 中山市科学技术局,中山市社会公益科技研究项目(2022B1058) |
| 中图分类号 | R749.3 |
| 卷期页码 | 2026, 2(02): 173-176 |
| 发布时间 | 2026-03-15 |
| 出版时间 | 2026-03-15 |
| 引用信息 | [1]胡静,平军娇,邓文丽,等.精神分裂症患者激越症状与炎症标志物的相关性研究[J].疾病预防与控制,2026,2(02):173-176. |
| 全文地址 | 在知网查看该文(kns.cnki.net) |
| 数据抓取时间 | 2026-09-22T12:22:51 |