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潮气末二氧化碳生物反馈膈肌呼吸对特发性癫痫患者呼吸、脑电图及癫痫发作频率的影响

Effect of diaphragmatic respiration with end-tidal CO2 biofeedback on respiration, EEG, and seizure frequency in idiopathic epilepsy.

作者信息

Fried R, Fox M C, Carlton R M

机构信息

Hunter College, City University of New York, New York 10021.

出版信息

Ann N Y Acad Sci. 1990;602:67-96. doi: 10.1111/j.1749-6632.1990.tb22730.x.

DOI:10.1111/j.1749-6632.1990.tb22730.x
PMID:2122789
Abstract

Breathing rate (RR), end-tidal percent CO2, and EEG were obtained in three groups: psychiatric referral subjects presenting with anxiety, panic phobia, depression and migraine; a group of idiopathic seizure sufferers; and a group of asymptomatic controls. Virtually all the noncontrol subjects were found to show moderate to severe hyperventilation and the accompanying EEG dysrhythmia. The seizure group subjects were taught diaphragmatic respiration with end-tidal percent CO2 biofeedback. The training normalized their respiration and altered their EEGs and seizure frequency.

摘要

对三组对象进行了呼吸频率(RR)、呼气末二氧化碳百分比和脑电图测量:患有焦虑、惊恐恐惧症、抑郁症和偏头痛的精神科转诊患者;一组特发性癫痫患者;以及一组无症状对照组。几乎所有非对照组对象都表现出中度至重度的通气过度以及伴随的脑电图节律紊乱。癫痫组患者接受了基于呼气末二氧化碳百分比生物反馈的膈式呼吸训练。该训练使他们的呼吸恢复正常,并改变了他们的脑电图和癫痫发作频率。

相似文献

1
Effect of diaphragmatic respiration with end-tidal CO2 biofeedback on respiration, EEG, and seizure frequency in idiopathic epilepsy.潮气末二氧化碳生物反馈膈肌呼吸对特发性癫痫患者呼吸、脑电图及癫痫发作频率的影响
Ann N Y Acad Sci. 1990;602:67-96. doi: 10.1111/j.1749-6632.1990.tb22730.x.
2
Behavioral control of intractable idiopathic seizures: I. Self-regulation of end-tidal carbon dioxide.
Psychosom Med. 1984 Jul-Aug;46(4):315-31. doi: 10.1097/00006842-198407000-00002.
3
Control of the end-tidal PCO2 in the hyperventilation syndrome: effects of biofeedback and breathing instructions compared.过度通气综合征中呼气末二氧化碳分压的控制:生物反馈与呼吸指导效果的比较
Bull Eur Physiopathol Respir. 1982 Nov-Dec;18(6):829-36.
4
Unsteadiness of breathing in patients with hyperventilation syndrome and anxiety disorders.换气过度综合征和焦虑症患者的呼吸不稳。
Eur Respir J. 1997 Jan;10(1):167-76. doi: 10.1183/09031936.97.10010167.
5
[Electrical picture of the brain under increased respiration in children. Studies on the structure of hyperventilation and its value as a provocation method in clinical electroencephalography in a model of multivariate analysis using electronic data processing].[儿童呼吸增强时的脑电图像。在使用电子数据处理的多变量分析模型中,对过度换气的结构及其作为临床脑电图激发方法的价值的研究]
Psychiatr Neurol Med Psychol Beih. 1971;16:1-146.
6
Opposing breathing therapies for panic disorder: a randomized controlled trial of lowering vs raising end-tidal P(CO₂).对立的呼吸疗法治疗惊恐障碍:降低与升高潮气末 P(CO₂)的随机对照试验。
J Clin Psychiatry. 2012 Jul;73(7):931-9. doi: 10.4088/JCP.11m07068.
7
Respiratory psychophysiology of panic disorder: three respiratory challenges in 98 subjects.惊恐障碍的呼吸心理生理学:98名受试者的三项呼吸挑战
Am J Psychiatry. 1997 Nov;154(11):1557-65. doi: 10.1176/ajp.154.11.1557.
8
Does hyperventilation elicit epileptic seizures?换气过度会引发癫痫发作吗?
Epilepsia. 2004 Jun;45(6):618-20. doi: 10.1111/j.0013-9580.2004.63803.x.
9
Moderate hyperventilation prolongs electroencephalogram seizure duration of the first electroconvulsive therapy.适度过度通气会延长首次电休克治疗时脑电图癫痫发作的持续时间。
J ECT. 2008 Sep;24(3):195-8. doi: 10.1097/YCT.0b013e3181620815.
10
A double-blind investigation of the relationship between seizure activity and the sleep EEG following EEG biofeedback training.一项关于脑电图生物反馈训练后癫痫发作活动与睡眠脑电图之间关系的双盲研究。
Biofeedback Self Regul. 1982 Jun;7(2):193-209. doi: 10.1007/BF00998783.

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