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[原发性夜间遗尿症患儿工作记忆损害的事件相关电位]

[Event-related potentials of working memory impairment in children with primary nocturnal enuresis].

作者信息

Zhu Jie, Dong Xuan, Zhao Fang-Qiao, Gu Xiao-Yan, Dong Yu, Ding Li

机构信息

Department of Pediatric Nephrology, Changzhou Children's Hospital, Changzhou, Jiangsu 213002, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2018 Dec;20(12):1040-1043. doi: 10.7499/j.issn.1008-8830.2018.12.012.

Abstract

OBJECTIVE

To study the cognitive neural mechanism of working memory impairment in children with primary nocturnal enuresis using event-related potential (ERP).

METHODS

A total of 14 children with primary nocturnal enuresis were enrolled as enuresis group, and 14 normal children were enrolled as control group. The learning-recognition task test was applied, and the ERP components (P2, N2, and P3) at Fz lead while identifying old pictures (learned) and new ones (unlearned) were measured and compared between the two groups.

RESULTS

While identifying the old pictures, the enuresis group had a lower amplitude of P2 and N2 than the control group (P<0.05). There were no significant differences between the two groups in the latency of P2, N2, and P3 and the amplitude of P3. While identifying the new pictures, the enuresis group had a longer latency of P2 and a significantly lower amplitude of N2 than the control group (P<0.05). There were no significant differences between the two groups in the amplitude of P2 and P3 and the latency of N2 and P3.

CONCLUSIONS

Compared with normal children, the children with primary nocturnal enuresis have reduced abilities of classified information extraction, a prolonged reaction time, and reductions in memory capacity, memory consolidation, and conflict monitoring, which causes working memory impairment.

摘要

目的

采用事件相关电位(ERP)研究原发性夜间遗尿症患儿工作记忆损害的认知神经机制。

方法

选取14例原发性夜间遗尿症患儿作为遗尿组,另选14例正常儿童作为对照组。应用学习-识别任务测试,测量并比较两组在识别旧图片(已学习)和新图片(未学习)时Fz导联的ERP成分(P2、N2和P3)。

结果

在识别旧图片时,遗尿组P2和N2波幅低于对照组(P<0.05)。两组P2、N2和P3的潜伏期及P3波幅比较,差异无统计学意义。在识别新图片时,遗尿组P2潜伏期长于对照组,N2波幅显著低于对照组(P<0.05)。两组P2和P3波幅及N2和P3潜伏期比较,差异无统计学意义。

结论

与正常儿童相比,原发性夜间遗尿症患儿分类信息提取能力下降、反应时间延长,记忆容量、记忆巩固和冲突监测能力降低,导致工作记忆损害。

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本文引用的文献

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Practical consensus guidelines for the management of enuresis.遗尿症管理的实用共识指南。
Eur J Pediatr. 2012 Jun;171(6):971-83. doi: 10.1007/s00431-012-1687-7. Epub 2012 Feb 24.
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Cortical arousal in children with severe enuresis.重度遗尿症患儿的皮质唤醒
N Engl J Med. 2008 May 29;358(22):2414-5. doi: 10.1056/NEJMc0706528.

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