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[创伤性脑损伤(TBI)急性和恢复阶段患者对情感听觉刺激的脑电图功率谱变化]

[Changes of EEG power spectrum in response to the emotional auditory stimuli in patients in acute and recovery stages of TBI (traumatic brain injury)].

作者信息

Portnova G V, Gladun K V, Sharova E A, Ivanitskiĭ A M

出版信息

Zh Vyssh Nerv Deiat Im I P Pavlova. 2013 Nov-Dec;63(6):753-65. doi: 10.7868/s0044467713060142.

Abstract

We investigated variability of responses to emotionally important auditory stimulation in different groups of TBI (Traumatic Brain Injury) in acute state or recovery. The patients sampling consisted of three different groups: patients in coma or vegetative state, patients with Severe and Moderate TBI in recovery period. Subjects were stimulated with auditory stimuli containing important physiological sounds (coughing, vomiting), emotional sounds (laughing, crying), nature sounds (bird song, barking), unpleasant household sounds (nails scratching the glass), natural sounds (sea, rain, fire) and neutral sounds (white noise). The background encephalographic activity was registered during at least 7 minutes. EEG was recorded while using portable device "Entsefalan". Significant differences of power of the rhythmic activity registered during the presentation of different types of stimuli were analyzed using Mathlab and Statistica 6.0. Results showed that EEG-response to the emotional stimuli differed depending on consciousness level, stimuli type, severity of TBI. Most valuable changes in EEG spectrum power for a patient with TBI were found for unpleasant auditory stimulation. Responsiveness to the pleasant stimulation could be registered in later stages of coming out of coma than to unpleasant stimulation. Alpha-activity is reducing in patients with TBI: the alpha rhythm depression is most evident in the control group, less in group after moderate TBI, and even less in group after severe TBI. Patients in coma or vegetative state didn't show any response in rhythmic power in the frequency of alpha rhythm.

摘要

我们研究了处于急性期或恢复期的不同创伤性脑损伤(TBI)组对具有情感重要性的听觉刺激的反应变异性。患者样本包括三个不同组:昏迷或植物人状态的患者、处于恢复期的重度和中度TBI患者。受试者受到包含重要生理声音(咳嗽、呕吐)、情感声音(大笑、哭泣)、自然声音(鸟鸣、犬吠)、不愉快的家庭声音(指甲刮玻璃)、自然声音(大海、雨声、火焰)和中性声音(白噪声)的听觉刺激。在至少7分钟内记录背景脑电图活动。使用便携式设备“Entsefalan”记录脑电图。使用Mathlab和Statistica 6.0分析在呈现不同类型刺激期间记录的节律性活动功率的显著差异。结果表明,脑电图对情感刺激的反应因意识水平、刺激类型、TBI严重程度而异。对于TBI患者,脑电图频谱功率最有价值的变化出现在不愉快的听觉刺激中。与不愉快刺激相比,对愉快刺激的反应性在昏迷苏醒后期才能记录到。TBI患者的α活动减少:α节律抑制在对照组中最明显,中度TBI组较少,重度TBI组更少。昏迷或植物人状态的患者在α节律频率的节律性功率方面未显示任何反应。

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