临床荟萃

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高胆固醇血症对首发中年抑郁症患者认知功能的影响

  

  1. 河北医科大学精神卫生研究所,河北医科大学第一医院 精神科,河北  石家庄  050031
  • 出版日期:2017-10-05 发布日期:2017-10-10
  • 通讯作者: 通信作者:李宁,Email:ln3961837@163.com

Effect of hypercholesterolemia on cognitive function in patients with first onset depression

  1. Department of  Psychiatry,  the First Hospital of Hebei Medical University;  Institute of Mental Health,
     Hebei Medical University,  Shijiazhuang  050031,  China
  • Online:2017-10-05 Published:2017-10-10
  • Contact: Corresponding author: Li Ning, Email:ln3961837@163.com

摘要: 目的 探讨高胆固醇血症对首发中年抑郁症患者认知功能的影响,从而为临床治疗及预防提供可靠的理论依据。方法 2017年2-7月该院就诊的首发中年抑郁症患者,均为右利手。筛选出伴有高胆固醇血症的抑郁症患者作为研究组(n=58),不伴有高胆固醇血症的抑郁症患者作为对照组(n=60),利用认知功能测评工具(韦氏成人智能量表、韦氏记忆量表、WCST)分别对两组进行认知功能的测评,并对两组进行认知功能的对照性评估。结果 研究组的数字广度 、图画填空、再认和持续性错误数与对照组比较差异有统计学意义(P<0.05)。结论 高胆固醇血症可加重抑郁症患者认知功能的损害。

关键词: 抑郁症, 高胆固醇血症, 认知功能, 神经心理学测验

Abstract: Objective  To investigate the effect of hypercholesterolemia on cognitive function in patients with firstepisode middleaged depression, so as to provide a reliable theoretical basis for clinical treatment and prevention. Methods  Middleaged depressive disorder patients who received treatment of the first onset of depression in the hospital were all righthanded. Depressive disorder  patients with hypercholesterolemia were selected as study group(n=58), and depression patients without hypercholesterolemia served as control group(n=60). The cogntion assessment tools (Wechsler Adult Intelligence Scale, Wechsler Memory Scale and WCST) were used to evaluate the cognitive function of  two groups, and the cognitive function of  two groups was compared.Results  Digital span, fill in the blanks, recognition, and persistent error number  of study group were significantly different as compared with those of  control group(P<0.05).Conclusion  Hypercholesterolemia aggravates  the cognitive impairment in patients with depression.

Key words: depressive disorder; hypercholesterolemia, cognitive function, neuropsychological tests