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觉醒型特发性癫痫患者昼夜节律的研究(作者译)

[Studies on the circadian periodicity in patients with the awakening type of idiopathic epilepsy (author's transl)].

作者信息

Baust W, Irmscher K, Jörg J, Sommer T

出版信息

J Neurol. 1976 Oct 4;213(4):283-94. doi: 10.1007/BF00316268.

Abstract

In 6 patients with idiopathic epilepsy of the awakening type and 3 control subjects, the heart rate, body temperature and urinary excretion of sodium, potassium and calcium were measured over 72 h. The patients and the control subjects stayed in the hospital under constant environmental conditions including a standard diet with a constant content of sodium, potassium and calcium. The diet began 2 days before the onset of data collection. No drugs were given during the whole period. The data obtained during the 72-hour period were scored visually concerning the position of the maxima and minima, whereas the period duration was calculated by means of power spectral analysis. The epileptic patients showed more inconstant results concerning the time of maxima and minima as well as the 24-hour periodicity. However, a constant deviation i.e. a constant phase shift or a constant change in period duration into the same direction could not be observed. The different parameters showed different behavior even in the same patient. Thus a constant difference in the circadian periodicity between normal subjects and patients with epilepsy of the awakening type could not be found in the data recorded in the present study.

摘要

对6例觉醒型特发性癫痫患者和3名对照者在72小时内测量心率、体温以及钠、钾、钙的尿排泄量。患者和对照者在恒定的环境条件下住院,包括食用钠、钾和钙含量恒定的标准饮食。饮食在数据收集开始前2天开始。整个期间未给予任何药物。对72小时期间获得的数据,就最大值和最小值的位置进行视觉评分,而周期持续时间则通过功率谱分析计算。癫痫患者在最大值和最小值出现的时间以及24小时周期性方面表现出更不稳定的结果。然而,未观察到恒定偏差,即恒定的相位偏移或周期持续时间向同一方向的恒定变化。即使在同一患者中,不同参数也表现出不同的行为。因此,在本研究记录的数据中,未发现正常受试者与觉醒型癫痫患者在昼夜周期性方面存在恒定差异。

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