手术后妄想是否与血托芬减少有关?
R C van der Mast1, D Fekkes, P Moleman
1Department of Psychiatry, Dijkzigt Hospital, Rotterdam, Netherlands.
Lancet (London, England)
|October 5, 1991
概括
手术后妄可能源于大脑托可用性减少. 这项研究发现,心脏切除术后痴呆症患者的血 Tryptophan 水平较低,这表明与代谢状态有联系.
科学领域:
- 神经科学是一个神经科学.
- 生物化学 生物化学
- 心血管外科心血管外科
背景情况:
- 手术后妄想仍然是一个鲜为人知的并发症.
- 心脏切除术患者有患妄想症的风险.
研究的目的:
- 为了研究三在心脏切除术后痴呆症的发展中的作用.
主要方法:
- 测量了7名心脏切除术后痴呆症患者的血托芬度和比率.
- 将这些水平与8名没有妄的术后对照患者进行了比较.
主要成果:
- 患有心脏切除术后狂妄症的患者表现出显著较低的托芬度.
- 在痴呆症组中也观察到血托芬比率的降低.
结论:
- 大脑托芬可用性减少,可能是由于触媒状态,可能是心脏切除术后痴呆症精神症状的基础.
- 托芬代谢可能是预防心脏手术后妄想症的治疗标.
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