国际精神病学杂志JOURNALOFINTERNATIONALPSYCHIATRY2023年第50卷第3期-480-◎临床研究◎Clinicalresearch脑卒中患者血清BDNF、OPN、AngⅡ水平与焦虑/抑郁的关系马青素1、高岚2、郭宁3、郭瑞娟1【摘要】目的探究脑卒中患者血清骨桥蛋白(OPN)、血管紧张素(Ang)Ⅱ以及脑源神经营养因子(BDNF)水平表达与焦虑/抑郁的关系。方法选取我院2021年1月~2022年8月期间收治的81例脑卒中患者作为观察组,同期在我院健康体检者40例作为对照组,并检测所有受试者血清OPN、AngⅡ、BDNF水平;根据医院焦虑抑郁量表评估患者焦虑抑郁情况,并采用二元Logistic回归分析血清BDNF、OPN、AngⅡ水平与脑卒中患者焦虑/抑郁的关系。结果观察组BDNF、OPN、AngⅡ水平均低于对照组,焦虑/抑郁组BDNF、OPN、AngⅡ水平均低于无焦虑/抑郁组,差异有统计学意义(P<0.05)。经二元Logistic回归分析,脑卒中患者血清低水平BDNF、OPN、AngⅡ是影响脑卒中患者焦虑/抑郁的独立危险因素(P<0.05)。结论脑卒中患者血清BDNF、OPN、AngⅡ因子呈低水平,是影响脑卒中患者焦虑/抑郁情绪的独立危险因素。【关键词】脑卒中;骨桥蛋白;血管紧张素;焦虑/抑郁【中图分类号】R749.1+3【文献标识码】A【文章编号】1673-2952(2023)03-0480-04RelationshipbetweenBDNF,OPN,AngⅡlevelsandanxiety/depressioninstrokepatientsMAQingsu,GAOLan,GUONing,etal.DepartmentofClinicalLaboratory,PuyangPeople'sHospital,Puyang457000,China【Abstract】ObjectiveToexploretherelationshipbetweenthelevelsofosteopontin(OPN),angiotensin(Ang)Ⅱandbrain-derivedneurotrophicfactor(BDNF)andanxiety/depressioninstrokepatients.Methods81patientswithstrokeadmittedtoourhospitalfromJanuary2021toAugust2022wereselectedastheobservationgroup,and40healthypatientsinourhospitalduringthesameperiodwereselectedasthecontrolgroup.SerumOPN,AngⅡandBDNFlevelsofallsubjectsweredetected.Theanxietyanddepressionofpatientswereevaluatedaccordingtothehos-pitalAnxietyandDepressionScale,andtherelationshipbetweenserumBDNF,OPN,AngⅡlevelsandanxiety/de-pressionofstrokepatientswasanalyzedbybinarylogisticregression.ResultsThelevelsofBDNF,OPNandAngⅡintheobservationgroupwerelowerthanthoseinthecontrolgroup,andthelevelsofBDNF,OPNandAngⅡintheanxiety/de...