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[脑梗死患者的脑血流量与事件相关电位]

[Cerebral blood flow and event-related potential in patients with cerebral infarction].

作者信息

Tachibana H, Toda K, Takeda M, Sugita M, Kondo J, Miyauchi M, Matsuoka A

机构信息

5th Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya.

出版信息

Rinsho Byori. 1990 Aug;38(8):947-51.

PMID:2232259
Abstract

Cerebral blood flow (CBF) and P 300, a long-latency positive component of the scalp-recorded event-related potential (ERP) associated with cognitive processing were investigated in patients with cerebral infarction to elucidate the relationship between CBF and cognitive function. Twenty-five patients with cerebral infarction with a mean age of 66.8 years were studied. ERP was recorded during auditory discrimination tasks. The latency of the P 300 from Pz region was recorded. The regional CBF was measured by the 133Xe inhalation method. The F1 (cortical gray matter flow) values were calculated using the Obrist's method. The mean F1 values in patients with cerebral infarction were significantly lower compared to the values obtained for the 15 control subjects (mean age, 68.4 years) (p less than 0.01). Patients with cerebral infarction showed significant prolongation of the P 300 latency compared to the 20 control subjects (mean age, 64.4 years) (p less than 0.02). There was a significant correlation between the P 300 latency and the mean F1 values in patients with cerebral infarction (p less than 0.01). Present results suggest that the cognitive impairment with respect to ERP may be related to the reduction of cortical blood flow in patients with cerebral infarction.

摘要

为了阐明脑血流量(CBF)与认知功能之间的关系,对脑梗死患者的脑血流量和P300进行了研究。P300是头皮记录的与认知加工相关的事件相关电位(ERP)的一个长潜伏期正向成分。研究了25例平均年龄为66.8岁的脑梗死患者。在听觉辨别任务期间记录ERP。记录Pz区域P300的潜伏期。采用133Xe吸入法测量局部脑血流量。使用奥布里斯方法计算F1(皮质灰质血流量)值。与15名对照受试者(平均年龄68.4岁)获得的值相比,脑梗死患者的平均F1值显著降低(p<0.01)。与20名对照受试者(平均年龄64.4岁)相比,脑梗死患者的P300潜伏期显著延长(p<0.02)。脑梗死患者的P300潜伏期与平均F1值之间存在显著相关性(p<0.01)。目前的结果表明,脑梗死患者ERP方面的认知障碍可能与皮质血流量减少有关。

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