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小儿胃肠疾病中的儿茶酚胺变化及其神经精神表现

Catecholamine Variations in Pediatric Gastrointestinal Disorders and Their Neuropsychiatric Expression.

作者信息

Matiș Loredana, Alexandru Bogdana Ariana, Ghitea Timea Claudia

机构信息

Faculty of Medicine and Pharmacy, Medicine Department, University of Oradea, 410068 Oradea, Romania.

出版信息

Biomedicines. 2023 Sep 22;11(10):2600. doi: 10.3390/biomedicines11102600.

Abstract

The interplay between the central nervous system and the intestinal environment hinges on neural, hormonal, immune, and metabolic reactions. Over decades, significant effort has gone into exploring the link between the digestive system and the brain. The primary objective of this study is to assess catecholamine levels in children with neuropsychiatric disorders. We aim to examine how these levels impact the mental and physical wellbeing of these children, with a specific focus on psychoemotional symptoms and cognitive performance. Our research seeks to identify the significance of modifying neurotransmitter levels in pediatric medical interventions, ultimately striving to reduce mental health risks and enhance children's future development. A total of 135 individuals were chosen to partake, and they engaged in regular monthly consultations according to established study protocols. Clinical evaluations were conducted in a medical environment, encompassing the observation of constipation, diarrhea, and additional gastrointestinal anomalies not confined to constipation or diarrhea. This entailed the assessment of neurotransmitter imbalances, with a specific focus on dopamine, adrenaline, noradrenaline, and the noradrenaline/adrenaline ratio. Gastrointestinal disorders are indicative of imbalances in catecholamines, with lower gastrointestinal problems being correlated with such imbalances. In subjects with psychiatric disorders, a more pronounced dopamine and noradrenaline/adrenaline ratio was observed, while elevated adrenaline levels were associated with psychoanxiety disorders.

摘要

中枢神经系统与肠道环境之间的相互作用取决于神经、激素、免疫和代谢反应。几十年来,人们投入了大量精力来探索消化系统与大脑之间的联系。本研究的主要目的是评估神经精神疾病患儿的儿茶酚胺水平。我们旨在研究这些水平如何影响这些儿童的身心健康,特别关注心理情绪症状和认知表现。我们的研究旨在确定在儿科医疗干预中调节神经递质水平的意义,最终努力降低心理健康风险并促进儿童的未来发展。总共选择了135名个体参与,他们按照既定的研究方案每月进行定期咨询。临床评估在医疗环境中进行,包括观察便秘、腹泻以及不限于便秘或腹泻的其他胃肠道异常情况。这需要评估神经递质失衡情况,特别关注多巴胺、肾上腺素、去甲肾上腺素以及去甲肾上腺素/肾上腺素比值。胃肠道疾病表明儿茶酚胺失衡,下消化道问题与这种失衡相关。在患有精神疾病的受试者中,观察到多巴胺和去甲肾上腺素/肾上腺素比值更为明显,而肾上腺素水平升高与精神焦虑症相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2b5/10604142/67de1bb777ac/biomedicines-11-02600-g001.jpg

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