Objective:To investigate the characteristics and significance of near-infrared brain function imaging in patients with depressive disorder after administration of propofol injection.Methods:A total of 28 subjects with...Objective:To investigate the characteristics and significance of near-infrared brain function imaging in patients with depressive disorder after administration of propofol injection.Methods:A total of 28 subjects with depressive disorder diagnosed according to DSM-5 criteria were selected from Xi’an Mental Health Center between January 2022 and January 2025.They were randomly divided into an experimental group(propofol group,n=14)and a control group(intralipid group,n=14)using a random number table.The changes in integral value(IV)and centroid value(CV)of the two patient groups before and after treatment were measured using functional near-infrared spectroscopy(fNIRS)technology.Results:There was no statistically significant difference in HAMD scores between the two groups of patients at 24 h before treatment(P>0.05).Repeated measures analysis of variance showed that both time factor(Ftime=32.237,Ptime<0.001),group factor(Fgroup=47.027,Pgroup<0.001),and their interaction(Finteraction=31.829,Pinteraction<0.001)were statistically significant.The centroid values of the frontal and temporal lobes were consistent at baseline before treatment,with no intra-group changes or inter-group differences at any time point after treatment(P>0.05).The integral values of the frontal and temporal lobes were consistent between the two groups at baseline before treatment,and both showed a time-dependent increase after treatment(Ptime<0.05).However,the increase in the experimental group was significantly greater than that in the control group(Pgroup<0.05),with a significant interaction effect(Pinteraction<0.05).Conclusion:fNIRS detected specific acute hemodynamic changes in the prefrontal and temporal regions of patients with depressive disorder after propofol intervention.These changes may be related to the mechanism of action of propofol.However,this study did not confirm a direct linear correlation between changes in integral/centroid values and the degree of clinical improvement in depressive symptoms.Propofol intervention combined with deep anesthesia rapidly improved depressive symptoms and was accompanied by enhanced hemodynamic activity in the prefrontal/temporal regions,though its specificity requires further validation.展开更多
基金A Randomized Single-Blind Controlled Trial of Propofol Injection for Depressive Disorder,Xi’an Municipal Science and Technology Bureau(Project No.:22YXYJ0035)。
文摘Objective:To investigate the characteristics and significance of near-infrared brain function imaging in patients with depressive disorder after administration of propofol injection.Methods:A total of 28 subjects with depressive disorder diagnosed according to DSM-5 criteria were selected from Xi’an Mental Health Center between January 2022 and January 2025.They were randomly divided into an experimental group(propofol group,n=14)and a control group(intralipid group,n=14)using a random number table.The changes in integral value(IV)and centroid value(CV)of the two patient groups before and after treatment were measured using functional near-infrared spectroscopy(fNIRS)technology.Results:There was no statistically significant difference in HAMD scores between the two groups of patients at 24 h before treatment(P>0.05).Repeated measures analysis of variance showed that both time factor(Ftime=32.237,Ptime<0.001),group factor(Fgroup=47.027,Pgroup<0.001),and their interaction(Finteraction=31.829,Pinteraction<0.001)were statistically significant.The centroid values of the frontal and temporal lobes were consistent at baseline before treatment,with no intra-group changes or inter-group differences at any time point after treatment(P>0.05).The integral values of the frontal and temporal lobes were consistent between the two groups at baseline before treatment,and both showed a time-dependent increase after treatment(Ptime<0.05).However,the increase in the experimental group was significantly greater than that in the control group(Pgroup<0.05),with a significant interaction effect(Pinteraction<0.05).Conclusion:fNIRS detected specific acute hemodynamic changes in the prefrontal and temporal regions of patients with depressive disorder after propofol intervention.These changes may be related to the mechanism of action of propofol.However,this study did not confirm a direct linear correlation between changes in integral/centroid values and the degree of clinical improvement in depressive symptoms.Propofol intervention combined with deep anesthesia rapidly improved depressive symptoms and was accompanied by enhanced hemodynamic activity in the prefrontal/temporal regions,though its specificity requires further validation.
