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脑电图的计算机分析作为苯丙酮尿症饮食治疗评估的辅助手段。

Computer analysis of the EEG as an aid in the evaluation of dietetic treatment in phenylketonuria.

作者信息

Donker D N, Reits D, Van Sprang F J, van Leeuwen W S, Wadman S K

出版信息

Electroencephalogr Clin Neurophysiol. 1979 Feb;46(2):205-13. doi: 10.1016/0013-4694(79)90070-1.

DOI:10.1016/0013-4694(79)90070-1
PMID:86428
Abstract

The effect on the EEG of the reintroduction of phenylalanine in the diet of 6 patients with PKU on treatment was studied. Patients received daily loads of 100 or 150 mg L-phenylalanine/kg, equally divided over the meals, and computerized spectral EEG analysis was performed. The following EEG changes were seen: (1) occurrence of activity in the low frequency band (2--5 c/sec), (2) change of frequency of dominant rhythms; (3) change in the degree of synchrony between identical frequencies, occurring in different derivations. EEG changes increased quantitatively parallel to increasing blood phenylalanine and reversed after stopping the phenylalanine administration, suggesting that the EEG abnormalities are a measure for the degree of intoxication caused by phenylalanine or its metabolites. It is suggested that the EEG data may be useful deciding to terminate the diet in PKU.

摘要

研究了在6名接受治疗的苯丙酮尿症(PKU)患者的饮食中重新引入苯丙氨酸对脑电图(EEG)的影响。患者每日摄入100或150毫克L-苯丙氨酸/千克,均匀分配到每餐中,并进行了计算机化频谱脑电图分析。观察到以下脑电图变化:(1)低频带(2-5次/秒)活动的出现;(2)主导节律频率的变化;(3)不同导联中相同频率之间同步程度的变化。脑电图变化在数量上随着血苯丙氨酸水平的升高而平行增加,在停止给予苯丙氨酸后逆转,这表明脑电图异常是苯丙氨酸或其代谢产物所致中毒程度的一种衡量指标。有人提出,脑电图数据可能有助于决定PKU患者饮食的终止。

相似文献

1
Computer analysis of the EEG as an aid in the evaluation of dietetic treatment in phenylketonuria.脑电图的计算机分析作为苯丙酮尿症饮食治疗评估的辅助手段。
Electroencephalogr Clin Neurophysiol. 1979 Feb;46(2):205-13. doi: 10.1016/0013-4694(79)90070-1.
2
[Computer analysis of the EEG as an aid in terminating diet therapy in phenylketonuria].[脑电图的计算机分析辅助苯丙酮尿症饮食治疗的终止]
Rev Electroencephalogr Neurophysiol Clin. 1978 Jan-Mar;8(1):55-60. doi: 10.1016/s0370-4475(78)80119-1.
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EEG as a possible prognostic tool in phenylketonuria.脑电图作为苯丙酮尿症一种可能的预后评估工具。
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Termination of strict diet therapy in phenylketonuria. A study on EEG sleep patterns and computer spectral analysis.苯丙酮尿症严格饮食疗法的终止。一项关于脑电图睡眠模式和计算机频谱分析的研究。
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引用本文的文献

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The Association between EEG Abnormality and Behavioral Disorder: Developmental Delay in Phenylketonuria.脑电图异常与行为障碍之间的关联:苯丙酮尿症中的发育迟缓
ISRN Pediatr. 2012;2012:976206. doi: 10.5402/2012/976206. Epub 2012 Mar 29.
2
Absence of a significant renal threshold for two aromatic acids in phenylketonuric children over two years of age.
Eur J Pediatr. 1980 Aug;134(2):115-8. doi: 10.1007/BF01846027.
3
Pattern-reversal visual evoked potentials in phenylketonuric children.苯丙酮尿症患儿的图形翻转视觉诱发电位
Childs Nerv Syst. 1987;3(5):278-81. doi: 10.1007/BF00271823.
4
Long-term development of intelligence (IQ) and EEG in 34 children with phenylketonuria treated early.34例早期治疗的苯丙酮尿症患儿智力(IQ)和脑电图的长期发育情况
Eur J Pediatr. 1988 May;147(4):361-7. doi: 10.1007/BF00496411.
5
Pattern reversal visual evoked potentials in phenylketonuria.苯丙酮尿症中的图形翻转视觉诱发电位
J Inherit Metab Dis. 1988;11(4):416-21. doi: 10.1007/BF01800430.