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酒精诱导的双相性背景及刺激诱发脑电图变化与血液酒精水平的关系。

Alcohol-induced biphasic background and stimulus-elicited EEG changes in relation to blood alcohol levels.

作者信息

Schwarz E, Kielholz P, Hobi V, Goldberg L, Gilsdorf U, Hofstetter M, Ladewig D, Miest P C, Reggiani G, Richter R

出版信息

Int J Clin Pharmacol Ther Toxicol. 1981 Mar;19(3):102-11.

PMID:7228452
Abstract

The effects of 0.8 g alcohol kg-1 on CNS processes as reflected in EEG changes were studied in controlled experiments in 14 subjects in relation to BAC levels. A Two Period Change-Over Design with repeated trials over time allowed us to ascertain the time course and to isolate alcohol-induced changes from diurnal variations and effects of sequence and period. Based on spectral analysis of analog EEG recordings, the study has shown differential patterns of bi-phasic or tri-phasic alcohol-induced EEG changes over time in a number of parameters in background and in stimulus-elicited EEG responses varying with the BAC level and the metabolic phase of alcohol biotransformation. An increase in alpha activity during the absorption phase, a shift in the median of the total spectral power to the right (upwards), a decrease in slow activity in the delta and theta bands, and a decrease in variability of the background EEG on one hand and a reduction in stimulus-elicited EEg responses in total spectral alpha, theta and delta bands on the other are all interpreted as a stimulating excitatory effect during the absorption phase, parallel to the increase in BAC. The reverse pattern in the first part of the elimination phase infers a decrease in cerebral activation reflecting the sedative, depressant action of alcohol in this phase. The effects observed in the last trial, to a certain extent interpreted as stimulating, were simultaneous with the beginning of the post-alcohol hangover phase.

摘要

在14名受试者的对照实验中,研究了每千克体重摄入0.8克酒精对中枢神经系统过程(通过脑电图变化反映)的影响,并与血液酒精浓度(BAC)水平相关联。采用两阶段交叉设计并随时间进行重复试验,使我们能够确定时间进程,并将酒精引起的变化与昼夜变化、序列和阶段的影响区分开来。基于模拟脑电图记录的频谱分析,该研究表明,在背景和刺激诱发的脑电图反应的多个参数中,随着BAC水平和酒精生物转化代谢阶段的变化,酒精引起的脑电图变化随时间呈现双相或三相的不同模式。吸收阶段α活动增加,总频谱功率中位数向右(向上)移动,δ和θ波段慢活动减少,背景脑电图变异性降低,另一方面,刺激诱发的脑电图反应在总频谱α、θ和δ波段减少,所有这些都被解释为吸收阶段的刺激兴奋作用,与BAC增加平行。消除阶段第一部分的相反模式表明大脑激活减少,反映了该阶段酒精的镇静、抑制作用。在最后一次试验中观察到的在一定程度上被解释为刺激作用的效果,与酒精后宿醉阶段的开始同时出现。

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