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使用微波辐射测量法对慢性意识障碍患者和健康个体的脑昼夜节律进行研究。

Study of Brain Circadian Rhythms in Patients with Chronic Disorders of Consciousness and Healthy Individuals Using Microwave Radiometry.

作者信息

Shevelev Oleg A, Petrova Marina V, Yuriev Mikhail Yu, Mengistu Elias M, Kostenkova Inna Z, Zhdanova Maria A, Vesnin Sergey G, Goryanin Igor

机构信息

Federal Research and Clinical Centre for Resuscitation and Rehabilitology, 107031 Moscow, Russia.

Department of Anaesthesiology and Intensive Care, Department of General Pathology and Pathological Physiology, Peoples' Friendship University of Russia, 117198 Moscow, Russia.

出版信息

Diagnostics (Basel). 2022 Jul 22;12(8):1777. doi: 10.3390/diagnostics12081777.

Abstract

The study of circadian rhythms in the human body using temperature measurements is the most informative way to assess the viability of the body's rhythm-organizing systems. Pathological processes can affect circadian rhythm dynamics in damaged organs. Severe brain damage that caused the development of disorders of consciousness (DOC) (strokes, traumatic brain injury) disrupts the activity of central oscillators, by directly damaging or destroying the periphery links, and the level of preservation of circadian rhythms and the dynamics of their recovery can be informative diagnostic criteria for patient's condition assessment. This study examined 23 patients with DOC by using a non-invasive method for obtaining body and cerebral cortex temperature to compare with healthy controls. Measurements were made with a 4 h interval for 52 h beginning at 08:00 on day 1 and ending at 08:00 on day 3. The profile of patients with DOC showed complete disruption compared to healthy controls with rhythmic patterns. The results indicate that the mechanisms for maintaining brain circadian rhythms are different from general homeostasis regulation of the body. Use of microwave radio thermometry for the identification of rehabilitation potential in patients with DOC is a promising area of investigation.

摘要

利用体温测量来研究人体的昼夜节律,是评估人体节律调节系统活力的最有效方法。病理过程会影响受损器官的昼夜节律动态。导致意识障碍(DOC)(中风、创伤性脑损伤)的严重脑损伤,会通过直接损害或破坏外周连接来扰乱中枢振荡器的活动,而昼夜节律的保存水平及其恢复动态,可作为评估患者病情的信息丰富的诊断标准。本研究通过一种获取身体和大脑皮层温度的非侵入性方法,对23名DOC患者进行了检查,并与健康对照组进行比较。从第1天08:00开始,每隔4小时测量一次,持续52小时,至第3天08:00结束。与具有节律模式的健康对照组相比,DOC患者的情况显示出完全紊乱。结果表明,维持大脑昼夜节律的机制不同于身体的一般稳态调节。利用微波无线电测温法来识别DOC患者的康复潜力,是一个很有前景的研究领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1375/9331034/97083150a314/diagnostics-12-01777-g001.jpg

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