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[慢性酒精中毒患者地塞米松试验指标的变化及血小板对血清素吸收率的降低]

[Changes in dexamethasone test indices and reduction in the rate of serotonin absorption by thrombocytes in chronic alcoholics].

作者信息

Bokiĭ I V, Kiseleva I P, Lapin I P, Prakh'e I B, Rybakova T G

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(2):234-7.

PMID:6711212
Abstract

Seventy-one chronic alcoholics with affective disorders were studied for the dexamethason test (DT) and for the rate of platelet serotonin absorption (RPSA) prior to and following the treatment. A considerable part of the patients displayed pathological changes in DT which correlated with the degree of affective symptomatology. The DT may serve as one of the methods for diagnosing affective disturbances in alcoholism. The RPSA was equally depressed in all the patients studied (by about 30% as against the control group) irrespective of the severity of affective symptomatology. The increase in the activity of central serotoninergic processes expressed in a RPSA decrease seems to reflect an underlying basic biochemical pathology of alcoholism rather than disorders in the affective sphere.

摘要

对71名患有情感障碍的慢性酗酒者在治疗前后进行了地塞米松试验(DT)和血小板5-羟色胺吸收速率(RPSA)的研究。相当一部分患者在DT中表现出病理变化,这与情感症状的程度相关。DT可作为诊断酒精中毒情感障碍的方法之一。无论情感症状的严重程度如何,所有研究患者的RPSA均同样降低(与对照组相比约降低30%)。RPSA降低所表现出的中枢5-羟色胺能过程活性增加似乎反映了酒精中毒潜在的基本生化病理,而非情感领域的紊乱。

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