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阿片类药物依赖患者脑振荡成分及其时间特征的重组

Reorganization of the composition of brain oscillations and their temporal characteristics in opioid dependent patients.

作者信息

Fingelkurts Alexander A, Fingelkurts Andrew A, Kivisaari Reetta, Autti Taina, Borisov Sergei, Puuskari Varpu, Jokela Olga, Kähkönen Seppo

机构信息

BM-SCIENCE-Brain and Mind Technologies Research Centre, PO Box 77, FI-02601, Espoo, Finland.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2006 Dec 30;30(8):1453-65. doi: 10.1016/j.pnpbp.2006.06.005. Epub 2006 Aug 4.

Abstract

In the present study, we examined the composition of electroencephalographic (EEG) brain oscillations in broad frequency band (0.5-30 Hz) in 22 opioid-dependent patients and 14 healthy subjects during resting condition (closed eyes). The exact compositions of brain oscillations and their temporal behavior were assessed by the probability-classification analysis of short-term EEG spectral patterns. It was demonstrated that EEG of patients with opioid dependence was characterized by (a) significant reorganization of brain oscillations with increase in the percentage of beta- and mostly fast-alpha-rhythmic segments, (b) longer periods of temporal stabilization for alpha and beta brain oscillations and by shorter periods of temporal stabilization for theta and polyrhythmic activity when compared with control subjects, and (c) right-sided dominance (significantly larger relative presence of particular spectral patterns in EEG channels of the right hemisphere). These effects were widely distributed across the cortex with the maximum magnitude in the occipital, right parietal, temporal, and frontal areas. Taken together the present study suggested (a) an allostatic state with neuronal activation, and (b) high sensitivity of the right hemisphere to adverse opioid effects.

摘要

在本研究中,我们检测了22名阿片类药物依赖患者和14名健康受试者在静息状态(闭眼)下宽频带(0.5 - 30Hz)脑电图(EEG)脑振荡的组成。通过对短期EEG频谱模式的概率分类分析来评估脑振荡的确切组成及其时间行为。结果表明,阿片类药物依赖患者的脑电图具有以下特征:(a)脑振荡显著重组,β波和主要是快速α节律段的百分比增加;(b)与对照组相比,α波和β波脑振荡的时间稳定期更长,而θ波和多节律活动的时间稳定期更短;(c)右侧优势(右半球EEG通道中特定频谱模式的相对存在显著更大)。这些效应广泛分布于整个皮层,在枕叶、右顶叶、颞叶和额叶区域最为明显。综合来看,本研究表明:(a)存在神经元激活的应激适应状态;(b)右半球对阿片类药物的不良影响高度敏感。

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