精神分裂症患者的高凝血状态:急性和慢性抗精神病药物的不同作用
Caiji Zheng1,2,3, Haiyan Liu4,2, Weifeng Tu3
1Mental Health Center of Shantou University, Shantou 515065, China.
Therapeutic advances in psychopharmacology
|October 2, 2023
概括
第一次精神分裂症患者表现出高凝血状态. 急性抗精神病药物改善凝血标志物,而慢性治疗对精神分裂症中血栓形成指标产生不同的影响.
科学领域:
- 精神病学和血液学 精神病学和血液学
- 神经科学和血栓瘤研究研究
背景情况:
- 精神分裂症与心血管疾病和静脉血栓栓塞的风险增加有关.
- 在精神分裂症患者中观察到高血栓形成指标,血栓激活和血小板功能障碍.
研究的目的:
- 为了研究第一发精神分裂症 (FES) 患者的高凝血状态.
- 为了比较急性和慢性抗精神病治疗对血液凝结和纤维素溶解生物标志物的影响.
主要方法:
- 一项涉及81名参与者的病例控制研究:FES,慢性精神分裂症 (CS) 和健康对照 (HC).
- 使用免疫学分析测量了D-二聚合物,PAI-1,sP-sel,tPA,TTP和vWF的血水平.
主要成果:
- 与HC相比,FES患者的PAI-1,sP-sel和TTP水平显著更高.
- 在FES患者中,急性抗精神病治疗减少了PAI-1,sP-sel,tPA,TPP和vWF.
- 在CS患者中,慢性抗精神病治疗导致sP-sel和vWF恢复到治疗前水平,PAI-1/tPA显著下降.
结论:
- 第一发精神分裂症患者出现高凝血状态.
- 急性和慢性抗精神病治疗对精神分裂症的凝血和纤维素分解生物标志物产生不同的影响.
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