ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-02-044 检验与方法 2026, 2(02): 173-176

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

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摘要

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。

Abstract

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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[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.