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精神分裂症不同严重程度组中的维生素D水平

Vitamin D Levels in Different Severity Groups of Schizophrenia.

作者信息

Akinlade Kehinde Sola, Olaniyan Oyejide Afolabi, Lasebikan Victor Olufolahan, Rahamon Sheu Kadiri

机构信息

Metabolic Research Unit, Department of Chemical Pathology, University College Hospital and University of Ibadan, Ibadan, Nigeria.

Department of Chemical Pathology, University of Ibadan, Ibadan, Nigeria.

出版信息

Front Psychiatry. 2017 Jun 13;8:105. doi: 10.3389/fpsyt.2017.00105. eCollection 2017.

Abstract

BACKGROUND

Vitamin D deficiency (VDD) continues to be associated with schizophrenia, but there is the dearth of information on the relationship between the severity of schizophrenia and plasma levels of vitamin D. This study, therefore, determined the plasma levels of vitamin D in different severity groups of schizophrenia.

MATERIALS AND METHODS

Plasma level of vitamin D was determined in 60 patients with schizophrenia and 30 apparently healthy individuals who served as controls. Patients with schizophrenia were classified into mildly ill, moderately ill, markedly ill, and severely ill groups using the Positive and Negative Syndrome Scale (PANSS).

RESULTS

The mean level of vitamin D was significantly lower in patients with schizophrenia compared with the controls. Similarly, there was a significant association between VDD and schizophrenia. The mean plasma levels of vitamin D were not significantly different when the mildly, moderately, markedly, and severely ill groups were compared with one another and there was no significant correlation between vitamin D level and PANSS scores. Furthermore, patients on atypical antipsychotics had an insignificantly lower level of vitamin D compared with the patients on typical antipsychotics.

CONCLUSION

It could be concluded from this study that patients with schizophrenia have low plasma vitamin D level which does not appear to be associated with the severity of schizophrenia and type of antipsychotics. Therefore, regular screening for vitamin D status of patients with schizophrenia is suggested in order to allow for the institution of appropriate clinical intervention when necessary.

摘要

背景

维生素D缺乏(VDD)仍然与精神分裂症相关,但关于精神分裂症严重程度与维生素D血浆水平之间的关系却缺乏相关信息。因此,本研究测定了不同严重程度的精神分裂症患者的维生素D血浆水平。

材料与方法

测定了60例精神分裂症患者和30名明显健康的个体(作为对照)的维生素D血浆水平。使用阳性和阴性症状量表(PANSS)将精神分裂症患者分为轻度、中度、重度和极重度组。

结果

与对照组相比,精神分裂症患者的维生素D平均水平显著降低。同样,VDD与精神分裂症之间存在显著关联。轻度、中度、重度和极重度组之间的维生素D平均血浆水平无显著差异,且维生素D水平与PANSS评分之间无显著相关性。此外,与使用典型抗精神病药物的患者相比,使用非典型抗精神病药物的患者维生素D水平略低,但无统计学意义。

结论

从本研究可以得出结论,精神分裂症患者的血浆维生素D水平较低,这似乎与精神分裂症的严重程度和抗精神病药物的类型无关。因此,建议定期筛查精神分裂症患者的维生素D状态,以便在必要时进行适当的临床干预。

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