上海口腔医学 ›› 2018, Vol. 27 ›› Issue (1): 48-51.doi: 10.19439/j.sjos.2018.01.011

• 论著 • 上一篇    下一篇

复发性阿弗他溃疡患者心理因素及血浆儿茶酚胺水平变化

洪晨, 王文梅, 王翔, 唐巍   

  1. 南京大学医学院附属口腔医院·南京市口腔医院 口腔黏膜病科,江苏 南京 210008
  • 收稿日期:2017-05-08 修回日期:2017-07-24 出版日期:2018-02-25 发布日期:2018-03-05
  • 通讯作者: 王文梅,E-mail:wangwenmei0102@163.com
  • 作者简介:洪晨(1987-),女,硕士,E-mail:419711229@qq.com
  • 基金资助:
    国家自然科学基金(81570978,81400521); 江苏省临床医学科技专项(BL2014018); 南京市科技计划项目(201402033)

Assessment of mental health status and plasma catecholamine levels in patients with recurrent aphthous ulcer

HONG Chen, WANG Wen-mei, WANG Xiang, TANG Wei   

  1. Department of Oral Medicine, Nanjing Stomatological Hospital, Medical School of Nanjing University. Nanjing 210008, Jiangsu Province, China
  • Received:2017-05-08 Revised:2017-07-24 Online:2018-02-25 Published:2018-03-05

摘要: 目的: 研究复发性阿弗他溃疡(RAU)患者心理因素及血浆儿茶酚胺水平的变化,探讨心理因素与复发性阿弗他溃疡发生、发展间的关系及其可能存在的物质基础。方法: 选择2016年2月—2016年8月在南京大学医学院附属口腔医院口腔黏膜病科门诊就诊的RAU患者30例为实验组,同时选择30名无重大系统性疾病及口腔黏膜疾病的年龄、性别等因素与实验组相匹配的健康人群作为对照组。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)分析2组受试人群的心理状态。于上午9—10点间安静状态下抽取受试者的全血,通过高效液相色谱法检测受试者血浆儿茶酚胺(包括多巴胺、去甲肾上腺素、肾上腺素)水平。数据采用SPSS22.0软件包进行统计学分析。结果: 实验组焦虑自评量表与抑郁自评量表的标准分值显著高于对照组(P<0.01)。血浆儿茶酚胺类物质水平分析,实验组肾上腺素水平显著高于对照组(P<0.01),多巴胺及去甲肾上腺素值2组间无显著差异。心理量表和血浆肾上腺素水平的相关性分析显示两者显著相关。结论: RAU患者存在明显的心理因素变化,同时伴有体内儿茶酚胺类物质水平明显升高。

关键词: 复发性阿弗他溃疡, 心理因素, 心理量表, 儿茶酚胺

Abstract: PURPOSE: To investigate the relationship between mental health and recurrent aphthous ulcer (RAU), and to explore the change of plasma catecholamine level in RAU patients. METHODS: Thirty RAU patients treated in Nanjing Stomatological Hospital, Medical School of Nanjing University from February 2016 to August 2016 were selected as the experimental group, and 30 healthy people with matched age and gender were selected as the control group. Patients in both groups were asked to fill in the psychological scales for researchers to analyze their mental state, including Self-Rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS). Whole blood samples were taken from the selected subjects around 9 am to 10 am. High performance liquid chromatography (HPLC) was used to analyze the plasma catecholamine level. Statistical analysis was performed using SPSS 22.0 software package. RESULTS: The results of SAS and SDS showed that the standard scores of the experimental group were significantly higher than those of the control group (P<0.01), analysis of plasma catecholamine level showed that adrenaline level in the experimental group was significantly higher than the control group (P<0.01). Analysis of the plasma adrenaline level and standard scores of both psychological scales showed that they had significant correlation. CONCLUSIONS: There is a close relationship between the development of RAU and the mental state of patients. Meanwhile, plasma adrenaline level significantly increases in patients with RAU.

Key words: Recurrent aphthous ulcer, Mental factors, Psychological scales, Catecholamine

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