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精神分裂症中P300与脑电图节律的相关性

Correlation between P300 and EEG rhythm in schizophrenia.

作者信息

Kirino Eiji

机构信息

Juntendo University School of Medicine, Department of Psychiatry, Koshigaya-shi Saitama, Japan.

出版信息

Clin EEG Neurosci. 2004 Jul;35(3):137-46. doi: 10.1177/155005940403500306.

Abstract

We hypothesized that cognitive deficits reflected by P300 abnormality and distorted EEG rhythm in schizophrenia, which might share the subcortical generation system, could be closely associated with each other. Our goal is to assess the relationship between P300 and EEG rhythm generation in schizophrenics. Quantitative EEG (QEEG) in resting condition and P300 during auditory oddball paradigm were recorded with 25 unmedicated patients. Additionally, lateral ventricular-brain ratio (LV-BR), which partially reflects thalamic volume, was measured using CT scan. Brief Psychotic Rating Scale (BPRS) and Scale for Assessment of Negative Symptoms (SANS) were also rated. P300 amplitudes at Pz positively correlated with theta and slow alpha power before pharmacotherapy, however, the correlation tended to be confined to fast alpha after pharmacotherapy. BPRS and SANS showed no significant correlation with QEEG. High frequency bands such as fast alpha and beta showed trends to correlate negatively to LV-BR. The lack of correlation between P300 amplitudes and fast alpha power before pharmacotherapy, which was restored after pharmacotherapy, might indicate thalamocortical dysfunction in schizophrenia.

摘要

我们假设,精神分裂症中由P300异常和脑电图节律紊乱所反映的认知缺陷可能密切相关,它们可能共享皮层下产生系统。我们的目标是评估精神分裂症患者中P300与脑电图节律产生之间的关系。对25名未服药的患者记录了静息状态下的定量脑电图(QEEG)以及听觉oddball范式期间的P300。此外,使用CT扫描测量了部分反映丘脑体积的侧脑室-脑比率(LV-BR)。还对简明精神病评定量表(BPRS)和阴性症状评定量表(SANS)进行了评分。药物治疗前,Pz处的P300波幅与θ波和慢α波功率呈正相关,然而,药物治疗后这种相关性倾向于局限于快α波。BPRS和SANS与QEEG无显著相关性。快α波和β波等高频段显示出与LV-BR呈负相关的趋势。药物治疗前P300波幅与快α波功率之间缺乏相关性,而在药物治疗后这种相关性得以恢复,这可能表明精神分裂症存在丘脑皮质功能障碍。

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