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抑郁症中的镁元素。

Magnesium in depression.

机构信息

Chair and Department of Applied Pharmacy, Medical University of Lublin, Lublin, Poland.

出版信息

Pharmacol Rep. 2013;65(3):547-54. doi: 10.1016/s1734-1140(13)71032-6.

Abstract

Magnesium is one of the most essential mineral in the human body, connected with brain biochemistry and the fluidity of neuronal membrane. A variety of neuromuscular and psychiatric symptoms, including different types of depression, was observed in magnesium deficiency. Plasma/serum magnesium levels do not seem to be the appropriate indicators of depressive disorders, since ambiguous outcomes, depending on the study, were obtained. The emergence of a new approach to magnesium compounds in medical practice has been seen. Apart from being administered as components of dietary supplements, they are also perceived as the effective agents in treatment of migraine, alcoholism, asthma, heart diseases, arrhythmias, renal calcium stones, premenstrual tension syndrome etc. Magnesium preparations have an essential place in homeopathy as a remedy for a range of mental health problems. Mechanisms of antidepressant action of magnesium are not fully understood yet. Most probably, magnesium influences several systems associated with development of depression. The first information on the beneficial effect of magnesium sulfate given hypodermically to patients with agitated depression was published almost 100 years ago. Numerous pre-clinical and clinical studies confirmed the initial observations as well as demonstrated the beneficial safety profile of magnesium supplementation. Thus, magnesium preparations seem to be a valuable addition to the pharmacological armamentarium for management of depression.

摘要

镁是人体中最基本的矿物质之一,与大脑生物化学和神经元膜的流动性有关。在镁缺乏症中观察到多种神经肌肉和精神症状,包括不同类型的抑郁症。血浆/血清镁水平似乎不是抑郁症的适当指标,因为根据研究结果得出的结果并不明确。人们已经看到了镁化合物在医学实践中的新应用方法。除了作为膳食补充剂的成分被使用外,它们还被认为是治疗偏头痛、酗酒、哮喘、心脏病、心律失常、肾钙结石、经前紧张综合征等疾病的有效药物。镁制剂在顺势疗法中作为一系列心理健康问题的治疗药物具有重要地位。镁的抗抑郁作用机制尚未完全理解。很可能,镁会影响与抑郁症发展相关的几个系统。大约 100 年前,首次发表了关于给患有激动性抑郁症的患者皮下注射硫酸镁的有益效果的信息。大量的临床前和临床研究证实了最初的观察结果,并证明了镁补充的有益安全性特征。因此,镁制剂似乎是治疗抑郁症的药理学武器库中非常有价值的补充。

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