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意识障碍患者对习惯刺激的反应:一项定量脑电图研究。

Responses of Patients with Disorders of Consciousness to Habit Stimulation: A Quantitative EEG Study.

机构信息

Ming Zhou Nao Kang Rehabilitation Hospital, Hangzhou, 310000, China.

College of Life Information Science and Instrument Engineering, Hangzhou Dianzi University, Hangzhou, 310018, China.

出版信息

Neurosci Bull. 2018 Aug;34(4):691-699. doi: 10.1007/s12264-018-0258-y. Epub 2018 Jul 17.

Abstract

Whether habit stimulation is effective in DOC patient arousal has not been reported. In this paper, we analyzed the responses of DOC patients to habit stimulation. Nineteen DOC patients with alcohol consumption or smoking habits were recruited and 64-channel EEG signals were acquired both at the resting state and at three stimulation states. Wavelet transformation and nonlinear dynamics were used to extract the features of EEG signals and four brain lobes were selected to investigate the degree of EEG response to habit stimulation. Results showed that the highest degree of EEG response was from the call-name stimulation, followed by habit and music stimulations. Significant differences in EEG wavelet energy and response coefficient were found both between habit and music stimulation, and between habit and call-name stimulation. These findings prove that habit stimulation induces relatively more intense EEG responses in DOC patients than music stimulation, suggesting that it may be a relevant additional method for eliciting patient arousal.

摘要

习惯刺激是否能有效唤醒慢性意识障碍(DOC)患者尚未有报道。本文分析了习惯刺激对 DOC 患者的反应。招募了 19 名有饮酒或吸烟习惯的 DOC 患者,在静息状态和三种刺激状态下采集了 64 通道的 EEG 信号。使用小波变换和非线性动力学提取 EEG 信号的特征,并选择四个脑叶来研究 EEG 对习惯刺激的反应程度。结果表明,呼名刺激引起的 EEG 反应最强,其次是习惯刺激和音乐刺激。习惯刺激和音乐刺激、习惯刺激和呼名刺激之间的 EEG 小波能量和反应系数均存在显著差异。这些发现证明,与音乐刺激相比,习惯刺激在 DOC 患者中引起的 EEG 反应更强烈,提示习惯刺激可能是一种诱发患者觉醒的相关辅助方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f97/6060212/3bf806fda0c8/12264_2018_258_Fig1_HTML.jpg

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