[抑郁症神经组织损伤的脑电图和周围标记物的一致性]。

S A Galkin, L A Levchuk, G G Simutkin, S A Ivanova, N A Bokhan
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引用次数: 1

摘要

目的:评价抑郁症患者脑电图一致性参数及神经组织损伤外周标志物水平。材料和方法:对30例被诊断为心境障碍的患者进行了检查:单次抑郁发作中的情感性障碍和复发性抑郁障碍。对照组由30名性别和年龄与主要组相当的健康个体组成。通过计算脑内和脑间相干性的平均系数,记录和分析了脑的生物电活动。采用固相酶免疫法测定血清中钙结合蛋白S100b、髓鞘MBP的主要蛋白和胶质纤维酸蛋白GFAP的浓度。结果:抑郁症患者的α节律(p=0.003)、β节律(p=0.042)和θ节律(p=0.041)的半球间一致性系数以及左、右半球α节律(p=0.016)和右半球β节律(p=0.026)的半球内一致性系数均显著低于对照组(p=0.034)。抑郁症患者的MBP浓度高于对照组(p=0.008)。此外,我们发现抑郁症患者的脑电图一致性系数和血清标志物之间存在统计学上显著的相关性。结论:研究结果明确证实抑郁症患者脑内存在炎性改变,并表现为结构和功能上的改变。
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[Coherence of the electroencephalogram and peripheral markers of nerve tissue damage in depressive disorders].

Objective: To evaluate the coherence parameters of the electroencephalogram and the level of peripheral markers of nerve tissue damage in patients with depressive disorders.

Material and methods: Thirty patients with a diagnosis from a cluster of mood disorders: affective disorder within a single depressive episode and recurrent depressive disorder were examined. A control group consisted of 30 healthy individuals, comparable in sex and age to the main group. The bioelectric activity of the brain was recorded and analyzed with the calculation of the averaged coefficients of intra- and interhemispheric coherence. The concentration of calcium-binding protein S100b, the main protein of myelin MBP and glial fibrillar acid protein GFAP was determined in blood sera by solid-phase enzyme immunoassay.

Results: Patients with depressive disorders showed signi cantly lower coefficients of interhemispheric coherence of alpha (p=0.003), beta (p=0.042) and theta rhythms (p=0.041), as well as intrahemispheric coherence of alpha rhythm in the left (p=0.016) and right hemispheres (p=0.026), beta rhythm in the right hemisphere (p=0.034) compared to the control group. Patients with depressive disorders showed a higher concentration of MBP compared to the control group (p=0.008). Additionally, we identified statistically significant correlations between EEG coherence coefficients and serum markers in patients with depressive disorders.

Conclusion: The results clearly confirm the presence of inflammatory changes in the brain in patients with depression, which is reflected in structural and functional changes.

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来源期刊
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova Medicine-Psychiatry and Mental Health
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