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自闭症谱系障碍中P300波幅与潜伏期:一项荟萃分析。

P300 amplitude and latency in autism spectrum disorder: a meta-analysis.

作者信息

Cui Tingkai, Wang Peizhong Peter, Liu Shengxin, Zhang Xin

机构信息

Department of Child and Adolescent Health, School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin, 300070, China.

Division of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, 300 Prince Philip Drive, St. John's, NL, A1B 3V6, Canada.

出版信息

Eur Child Adolesc Psychiatry. 2017 Feb;26(2):177-190. doi: 10.1007/s00787-016-0880-z. Epub 2016 Jun 14.

Abstract

Autism spectrum disorder (ASD) is an early onset neurodevelopmental disorder. Evidence suggests that ASD patients have abnormalities in information processing. Event-related potential (ERP) technique can directly record brain neural activity in real time. P300 is a positive ERP component which can measure the neuroelectrophysiological characteristics of human beings and has the potential to discover the pathological mechanism of ASD. However, P300 studies on ASD patients are incongruent and the disparities may be caused by several factors. By searching PubMed, Embase and Cochrane Library databases, a meta-analysis of P300 component difference between ASD group and typically developed (TD) control group was conducted. Results of amplitude and latency of P3b and P3a from included studies were synthesized. Random effect model was chosen and standardized mean difference (SMD) was calculated. Subgroup analysis was used to identify the source of heterogeneity and to test the effect of different experiment factors. A total of 407 ASD patients and 457 TD controls from 32 studies were included in this analysis. Reduced amplitude of P3b was found in ASD group (SMD = -0.505, 95 % CI -0.873, -0.138) compared with TD group, but no difference of P3b latency, P3a amplitude, or P3a latency was found between groups. Subgroup analysis showed that oddball paradigm elicited attenuated P3b amplitude in Pz electrode among ASD subjects. This meta-analysis suggests ASD patients have abnormalities in P300 component, which may represent for deficits in cognition, attention orientation and working memory processing, particularly in the decision-making processing condition.

摘要

自闭症谱系障碍(ASD)是一种早发性神经发育障碍。有证据表明,ASD患者在信息处理方面存在异常。事件相关电位(ERP)技术可以实时直接记录大脑神经活动。P300是一种正向ERP成分,能够测量人类的神经电生理特征,并且有可能发现ASD的病理机制。然而,针对ASD患者的P300研究结果并不一致,这些差异可能由多种因素导致。通过检索PubMed、Embase和Cochrane图书馆数据库,对ASD组与正常发育(TD)对照组之间的P300成分差异进行了荟萃分析。综合纳入研究中P3b和P3a的波幅和潜伏期结果。选择随机效应模型并计算标准化平均差(SMD)。采用亚组分析来确定异质性来源并检验不同实验因素的作用。本分析共纳入了32项研究中的407例ASD患者和457例TD对照组。与TD组相比,发现ASD组P3b波幅降低(SMD = -0.505,95%CI -0.873,-0.138),但两组之间P3b潜伏期、P3a波幅或P3a潜伏期没有差异。亚组分析表明,在ASD受试者中,oddball范式在Pz电极处引起P3b波幅衰减。这项荟萃分析表明,ASD患者在P300成分上存在异常,这可能代表认知、注意力定向和工作记忆处理方面的缺陷,特别是在决策处理条件下。

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