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三联活性菌辅助米氮平对胃癌根治术后患者抑郁情绪的影响

Effects of triple viable bacteria-assisted mirtazapine in managing depression in patients after radical surgery for gastric cancer.

作者信息

Lu Heng, Wu Wei-Dong, Ji Li, Xu Xiao-Yan

机构信息

Department of Psychiatry, Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China.

The Ninth Department of Clinical Psychiatry, Wuxi Mental Health Center, Affiliated Mental Health Center of Jiangnan University, Wuxi 214000, Jiangsu Province, China.

出版信息

World J Gastrointest Surg. 2025 Apr 27;17(4):100821. doi: 10.4240/wjgs.v17.i4.100821.

Abstract

BACKGROUND

Patients with gastric cancer may have a risk of depression after radical surgery, which affects recovery and requires intensive intervention.

AIM

To explore the role of triple viable bacteria-assisted mirtazapine in patients with depression after radical surgery for gastric cancer.

METHODS

This study included 80 patients with gastric cancer who experienced depression after undergoing radical surgery from January 2022 to December 2023 at Jiangnan University Hospital in Wuxi city in Jiangsu province. The patients were categorized into the control group ( = 40) treated with mirtazapine and observation group ( = 40) treated with combined triple viable bacteria-assisted mirtazapine. Neuroendocrine index, intestinal flora level, nutrition status, and patient quality of life were analyzed.

RESULTS

Before drug index level, no statistically significant difference was observed between the two groups > 0.05). After drug administration, both groups experienced a decline in depression scores, cortisol, , levels, and quality of life scores, whereas dopamine, serotonin, , , hemoglobin, serum albumin and prealbumin levels increased. The observation group demonstrated significantly greater improvements across these indicators, with significant differences within groups and between groups ( < 0.05).

CONCLUSION

has a relieving effect on depression in patients after radical surgery for gastric cancer, improves neuroendocrine status, regulates intestinal flora, and improves nutritional status and quality of life.

摘要

背景

胃癌患者根治性手术后可能有患抑郁症的风险,这会影响康复,需要强化干预。

目的

探讨三联活菌辅助米氮平对胃癌根治性手术后抑郁症患者的作用。

方法

本研究纳入了2022年1月至2023年12月在江苏省无锡市江南大学附属医院接受根治性手术后出现抑郁症的80例胃癌患者。将患者分为接受米氮平治疗的对照组(n = 40)和接受三联活菌辅助米氮平联合治疗的观察组(n = 40)。分析神经内分泌指标、肠道菌群水平、营养状况和患者生活质量。

结果

用药前指标水平,两组间无统计学显著差异(P > 0.05)。给药后,两组患者的抑郁评分、皮质醇、[此处原文缺失部分内容]水平和生活质量评分均下降,而多巴胺、血清素、[此处原文缺失部分内容]、血红蛋白、血清白蛋白和前白蛋白水平升高。观察组在这些指标上的改善明显更大,组内和组间均有显著差异(P < 0.05)。

结论

[此处原文缺失部分内容]对胃癌根治性手术后患者的抑郁症有缓解作用,改善神经内分泌状态,调节肠道菌群,并改善营养状况和生活质量。

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Interpreting Depression From Question-Wise Long-Term Video Recording of SDS Evaluation.从 SDS 评估的逐问式长期视频记录中解读抑郁。
IEEE J Biomed Health Inform. 2022 Feb;26(2):865-875. doi: 10.1109/JBHI.2021.3092628. Epub 2022 Feb 4.

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