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Plasma inflammatory cytokine response to surgical trauma in chronic depressed patients.

机译:慢性抑郁症患者对手术创伤的血浆炎性细胞因子反应。

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We investigated inflammatory cytokine response in chronic depressed patients during abdominal surgery. Twenty-five major depressed patients (Group D) and twenty-five patients (Group C) as the control were studied. Plasma interleukin 6 (IL-6), interleukin 8 (IL-8) and tumour necrosis factor-alpha (TNF-alpha) concentrations were measured before and at 15 min after induction of anesthesia, the end of surgery, 24 h and 3 days after the operation. Plasma IL-6 concentrations in Group D at the end of the operation and 24 h after surgery were significantly lower than those of Group C. The plasma IL-6 concentration (87.1+/-55.3 pg/ml) of patients scoring more than 18 points in the Hamilton depression-rating score at the end of the operation was significantly higher than 57.5+/-76.7 pg/ml of patients scoring less than 18 points. Plasma IL-8 concentration (6.1+/-3.2 pg/ml) in Group D at the end of the operation was significantly lower than 8.7+/-4.2 pg/ml of Group C. We conclude that plasma IL-6 and IL-8 response to surgical trauma is inhibited in chronic depressed patients. The IL-6 response to surgical trauma is depending on the clinical state of depression. Copyright 2001 Academic Press.
机译:我们调查了腹部手术期间慢性抑郁症患者的炎症细胞因子反应。研究对象为25例重度抑郁症患者(D组)和25例患者(C组)。在麻醉诱导,手术结束,24小时和3天之前和之后15分钟分别测量血浆白细胞介素6(IL-6),白细胞介素8(IL-8)和肿瘤坏死因子-α(TNF-α)的浓度手术后。 D组在手术结束时和手术后24小时的血浆IL-6浓度显着低于C组。得分大于18的患者的血浆IL-6浓度(87.1 +/- 55.3 pg / ml)手术结束时汉密尔顿抑郁评分得分的得分显着高于得分低于18分的患者的57.5 +/- 76.7 pg / ml。 D组在手术结束时的血浆IL-8浓度(6.1 +/- 3.2 pg / ml)明显低于C组的8.7 +/- 4.2 pg / ml。我们得出结论,血浆IL-6和IL-慢性抑郁症患者对外科创伤的反应8被抑制。 IL-6对手术创伤的反应取决于抑郁症的临床状态。版权所有2001,学术出版社。

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