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[单次剂量安定药芬那西泮后脑电图指标动态变化与其在边缘性神经心理障碍患者治疗过程中疗效的关系]

[Relation between the dynamics of EEG indices after a single dose of the tranquilizer phenazepam and its efficacy during a course of treatment of patients with borderline neuropsychological disorders].

作者信息

Uvarova L G, Titaeva M A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1985;85(11):1701-9.

PMID:4082841
Abstract

The effect of a single phenazepam dose (1-2 mg) on the power of EEG frequency ranges, their interhemispherical asymmetry and the level of intra- and inter-hemispherical correlations was studied in 78 patients with borderline neuropsychic disturbances divided into four groups depending on the efficiency of phenazepam therapy. Different variants of reactions of EEG parameters related to the characteristics of the clinical action of the drug in different groups of patients were identified. High therapeutical efficacy of phenazepam was associated with a complex of bilateral, relatively generalized changes in power of beta- and alpha-ranges, characteristic of action of benzodiazepins and combined with a predominantly right-side decrease in theta-range and the absence of any significant dynamics of the initially intact correlations of the EEG. Patients with inadequate efficiency of phenazepam showed a topographically-limited and incomplete complex of changes in the power of frequency ranges. They also had alterations in the level of EEG correlation.

摘要

对78例边缘性神经精神障碍患者进行了研究,根据非那西泮治疗效果将其分为四组,探讨单次服用非那西泮剂量(1-2毫克)对脑电图频率范围功率、半球间不对称性以及半球内和半球间相关性水平的影响。确定了脑电图参数反应的不同变体,这些变体与不同组患者药物临床作用的特征有关。非那西泮的高治疗效果与β和α频率范围功率的双侧、相对广泛的变化有关,这是苯二氮䓬类药物作用的特征,同时主要表现为θ频率范围右侧降低,且脑电图最初完整的相关性没有任何显著变化。非那西泮疗效不佳的患者在频率范围功率变化方面表现出局部受限且不完整的变化组合。他们的脑电图相关性水平也有改变。

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