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使用大麻的精神分裂症患者中的炎症标志物。

Inflammation Markers Among Schizophrenia Patients Who Use Cannabis.

作者信息

Fridman Jonathan, Bloemhof-Bris Esther, Weizman Shira, Kessler Tal, Porat Dorit, Ivry Amos, Wolf Aviva, Stryjer Rafael, Shelef Assaf

机构信息

Lev Hasharon Mental Health Center, Tzur Moshe, Israel.

出版信息

Clin Neuropharmacol. 2023 Jun 20. doi: 10.1097/WNF.0000000000000558.

Abstract

OBJECTIVES

The mechanism of inflammation of the immune system, for example, such circulatory markers as the neutrophil-to-lymphocyte ratio (NLR) and mean platelet volume (MPV), has been shown in many studies to be associated with schizophrenia. In addition, it has been shown that the cannabidiol component reduces the activation of the acquired immune system. This study examined the differences in the levels of NLR and MPV among schizophrenia patients with cannabis use versus those without.

METHODS

In 2019 to 2020, a retrospective cross-sectional study was conducted based on digital medical records. Demographic, clinical, and complete blood cell count data were collected from records of rehospitalization of active psychotic schizophrenia inpatients. Data on NLR, MPV values, and demographic and clinical characteristics were compared between the groups and according to the degree of prevalence of cannabis use.

RESULTS

No differences were found in the NLR and MPV values between the groups.

CONCLUSION

The results were contrary to our expectations. These results may be explained by the presentation of a "pseudo-balanced" picture created when multiple processes affect inflammatory indices.

摘要

目的

免疫系统炎症机制,例如中性粒细胞与淋巴细胞比值(NLR)和平均血小板体积(MPV)等循环标志物,在许多研究中已显示与精神分裂症有关。此外,已表明大麻二酚成分可降低获得性免疫系统的激活。本研究调查了使用大麻的精神分裂症患者与未使用大麻的患者在NLR和MPV水平上的差异。

方法

2019年至2020年,基于数字医疗记录进行了一项回顾性横断面研究。从活跃性精神病性精神分裂症住院患者的再次住院记录中收集人口统计学、临床和全血细胞计数数据。比较了两组之间以及根据大麻使用流行程度的NLR、MPV值以及人口统计学和临床特征数据。

结果

两组之间的NLR和MPV值未发现差异。

结论

结果与我们的预期相反。这些结果可能是由于多个过程影响炎症指标时呈现出“伪平衡”状态来解释。

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