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抑郁症和阿尔茨海默病中感觉运动处理缺陷:一项肌电图和事件相关电位研究

Deficit in sensory motor processing in depression and Alzheimer's disease: a study with EMG and event related potentials.

作者信息

Ortiz Alonso T, López-Ibor M I, Martínez Castillo E, Fernández Lucas A, Maestú Unturbe F, López-Ibor J J

机构信息

Departamento de Psiquiatría y Psicología Médica, Facultad de Medicina, Universidad Complutense de Madrid, España.

出版信息

Electromyogr Clin Neurophysiol. 2000 Sep;40(6):357-63.

Abstract

Event related potentials have been examined in depression and Alzheimer disease like clinical utility. To evaluate the influence of visual and auditory stimuli on the P300 latency we studied 12 patients with major depression, 12 patients with Alzheimer disease and 12 normal subjects. The experimental tasks applied was, first a series of 300 auditory stimuli, 255 (85%), with tones of 1,000 Hz, and considered as the frequent stimulus, whereas 45 (15%) were tones of 2,000 Hz and referred as the rare stimulus. A second series of 300 visual stimuli, 255 (85%) that were black circles on a white background, and considered the frequent stimulus (9 cm diameter, 200 ms duration), whereas 45 (15%) were black squares on a white background and referred as the rare stimulus (9 cm diameter, 200 ms duration) in the centre of a computer screen. The results show an increase of P300 latency in depressive and Alzheimer patients during auditory and visual tasks. Differences were found in reaction time to visual or auditory stimuli in Alzheimer disease. These results are consistent with an impairment in brain function in depressive patients that is associated with cortical hypoactivity and deficits in perceptive, auditory or visual, functions, whereas deterioration in Alzheimer's disease is sensorymotor, according to the slowness latency in the reaction time.

摘要

事件相关电位已在抑郁症和类似阿尔茨海默病的临床应用中得到研究。为了评估视觉和听觉刺激对P300潜伏期的影响,我们研究了12名重度抑郁症患者、12名阿尔茨海默病患者和12名正常受试者。所应用的实验任务如下,首先是一系列300次听觉刺激,其中255次(85%)为1000赫兹的音调,被视为频繁刺激,而45次(15%)为2000赫兹的音调,被视为罕见刺激。第二系列是300次视觉刺激,其中255次(85%)是白色背景上的黑色圆圈,被视为频繁刺激(直径9厘米,持续时间200毫秒),而45次(15%)是白色背景上的黑色正方形,被视为计算机屏幕中央的罕见刺激(直径9厘米,持续时间200毫秒)。结果显示,抑郁症患者和阿尔茨海默病患者在听觉和视觉任务期间P300潜伏期增加。在阿尔茨海默病患者对视觉或听觉刺激的反应时间上发现了差异。这些结果与抑郁症患者的脑功能损害一致,这种损害与皮质活动减退以及感知、听觉或视觉功能缺陷有关,而根据反应时间的潜伏期延长,阿尔茨海默病的恶化是感觉运动方面的。

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