文章摘要
杨娜 ,李继华 ,李雪梅 ,元小冬 ,侯小强 ,李广强.血清细胞因子水平对癫痫合并抑郁的影响[J].神经损伤功能重建,2018,13(10):500-504
血清细胞因子水平对癫痫合并抑郁的影响
Effect of Serum Cytokines on Depression in Patients with Epilepsy
  
DOI:
中文关键词: 癫痫  抑郁症  血清细胞因子  危险因素
英文关键词: epilepsy  depression  serum cytokines  risk factor
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作者单位
杨娜a ,李继华b ,李雪梅a ,元小冬a ,侯小强a ,李广强a 华北理工大学附属 开滦总医院 a.神经 内科b.神经外科 
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中文摘要:
      目的:研究血清细胞因子水平对癫痫合并抑郁的影响。方法:癫痫患者766例纳入研究,进行问卷调 查、Beck抑郁量表-II(BDI-II)评分、癫痫相关的耻辱感量表评分、血清细胞因子水平测量,并对相关数据进 行统计学分析。结果:本组癫痫患者中抑郁症的患病率为30.3%,其中,轻、中、重症分别为41.3%、34.4%和 24.3%。多因素Logistic回归结果显示,在校正了其他混杂因素之后,血清IL-6第2、3、4分位组相对于第1分 位组是癫痫合并抑郁的危险因素,血清IL-10第2、3、4分位组相对于第1分位组是癫痫合并抑郁的保护因 素。结论:高 IL-6水平可能是癫痫合并抑郁的危险因素,高IL-10水平可能是癫痫合并抑郁的保护性因素。
英文摘要:
      To explore the relationship between serum cytokines and depression in epilepsy. Methods: A total of 766 patients diagnosed with epilepsy were selected for the study. Patients were evaluated by questionnaire and assessed using the Beck Depression Inventory-II (BDI-II) scale and epilepsy-related stigma score, and serum cytokine levels were measured. The data obtained were analyzed for statistical significance. Results: The prevalence of depressive disorder among patients with epilepsy was 30.3% . Of these, 41.3% , 34.4%, and 24.3% of patients were found to have mild, moderate, and severe depression, respectively. Logistic regression analysis showed that after correcting for confounding factors, compared with the first group of interleukin-6 (IL-6), the second, third, and fourth groups were risk factors for depression combined with epilepsy. On the other hand, compared with the first group of interleukin-10 (IL-10), second, third, and fourth groups were protective factors for depression combined with epilepsy. Conclusion: High level of IL-6 may be a risk factor for the incidence of depression in epilepsy. High level of IL-10 may be a protective factor for the incidence of depression in epilepsy
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