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冥想对记忆力丧失者认知功能和脑血流的影响:一项初步研究。

Meditation effects on cognitive function and cerebral blood flow in subjects with memory loss: a preliminary study.

机构信息

Division of Nuclear Medicine, Department of Radiology, University of Pennsylvania, Philadelphia, PA 19104, USA.

出版信息

J Alzheimers Dis. 2010;20(2):517-26. doi: 10.3233/JAD-2010-1391.

Abstract

This preliminary study determined if subjects with memory loss problems demonstrate changes in memory and cerebral blood flow (CBF) after a simple 8-week meditation program. Fourteen subjects with memory problems had an IV inserted and were injected with 250 MBq of Tc-99m ECD while listening to a neutral stimulus CD. They then underwent a pre-program baseline SPECT scan. Then subjects were guided through their first meditation session with a CD, during which they received an injection of 925 MBq ECD, and underwent a pre-program meditation scan. Subjects completed an 8-week meditation program and underwent the same scanning protocol resulting in a post-program baseline and meditation scan. A region of interest (ROI) template obtained counts in each ROI normalized to whole brain to provide a CBF ratio. Baseline and meditation scans and neuropsychological testing were compared before and after the program. The meditation program resulted in significant increases (p< 0.05) in baseline CBF ratios in the prefrontal, superior frontal, and superior parietal cortices. Scores on neuropsychological tests of verbal fluency, Trails B, and logical memory showed improvements after training. This preliminary study evaluated whether an 8-week meditation program resulted in improvements in neuropsychological function and differences in CBF in subjects with memory loss. While the findings are encouraging, there are a number of limitations that can be addressed in future studies with more participants and more detailed analyses.

摘要

本初步研究旨在确定记忆障碍患者在接受简单的 8 周冥想方案后,其记忆力和脑血流(CBF)是否会发生变化。14 名记忆问题患者静脉插入并注射 250MBq 的 Tc-99mECD,同时听中性刺激 CD。然后,他们进行了预编程的基线 SPECT 扫描。之后,通过 CD 引导受试者进行第一次冥想,在此期间他们接受了 925MBqECD 的注射,并进行了预编程的冥想扫描。受试者完成了 8 周的冥想方案,并接受了相同的扫描方案,从而产生了方案后的基线和冥想扫描。获得每个 ROI 的感兴趣区域(ROI)模板的计数,并归一化为全脑以提供 CBF 比。在方案前后比较了基线和冥想扫描以及神经心理学测试。冥想方案导致前额叶、额上回和顶上回的 CBF 比值在基线时显著增加(p<0.05)。训练后,言语流畅性、TrailsB 和逻辑记忆的神经心理学测试得分有所提高。本初步研究评估了 8 周冥想方案是否会改善记忆力丧失患者的神经心理学功能和 CBF 差异。虽然这些发现令人鼓舞,但在未来的研究中,参与者更多、分析更详细,可以解决许多限制。

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