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精神分裂症患者大脑氧合与血流动力学的半球间整合受损。

Impaired interhemispheric integration in brain oxygenation and hemodynamics in schizophrenia.

作者信息

Okada F, Tokumitsu Y, Hoshi Y, Tamura M

机构信息

Health Administration Center, Hokkaido University, Sapporo, Japan.

出版信息

Eur Arch Psychiatry Clin Neurosci. 1994;244(1):17-25. doi: 10.1007/BF02279807.

Abstract

We examined 38 patients with chronic schizophrenia to find and qualify disturbances in interhemispheric integration in brain oxygen metabolism and hemodynamics during a psychological task. A group of thirty-eight age- and sex-matched healthy volunteers were monitored as controls. Multi channel near-infrared (NIR) spectrophotometry was used to observed real-time alterations in cerebral oxygenation in areas of both hemispheres of the forebrain adjacent to the forehead during the mirror drawing task (MDT). In response to MDT normal volunteers showed distinct and well-integrated patterns of changes in oxygenated hemoglobin Hb, deoxygenated Hb, and blood volume total Hb. On the other hand, half the schizophrenics showed dysregulated patterns between hemispheres which never appeared in normal volunteers. Certain schizophrenic symptoms may be related to defective interhemispheric integration.

摘要

我们对38例慢性精神分裂症患者进行了检查,以发现并确定在一项心理任务期间大脑氧代谢和血流动力学的半球间整合障碍。一组38名年龄和性别匹配的健康志愿者作为对照进行监测。在镜像绘画任务(MDT)期间,使用多通道近红外(NIR)分光光度法观察前额相邻的前脑两个半球区域的脑氧合实时变化。对于MDT,正常志愿者表现出氧化血红蛋白Hb、脱氧血红蛋白Hb和血容量总Hb变化的明显且整合良好的模式。另一方面,一半的精神分裂症患者表现出半球间调节失调的模式,这在正常志愿者中从未出现过。某些精神分裂症症状可能与半球间整合缺陷有关。

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