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切尔诺贝利核电站事故后清理工作中工人精神障碍时大脑功能状态的电生理特征

Electrophysiological characterization of the functional state of the brain in mental disturbances in workers involved in the clean-up following the Chernobyl atomic energy station accident.

作者信息

Vyatleva O A, Katargina T A, Puchinskaya L M, Yurkin M M

机构信息

State Scientific Center for Psychiatry and Narcology, Ministry of Health and the Medical Industry of the Russian Federation, Moscow.

出版信息

Neurosci Behav Physiol. 1997 Mar-Apr;27(2):166-72. doi: 10.1007/BF02461948.

Abstract

Studies were carried out on 150 workers with mental disturbances, who had been involved in the clean-up of the Chernobyl atomic energy station accident. Visual and computer analyses of EEG traces from 43 workers were compared with traces from 17 healthy subjects, and the comparison revealed that the most common features in workers were disorganization of the alpha-rhythm and strengthening of beta-1-activity in the sensorimotor cortex. In neurosis-like syndromes (13 patients), there was a significant increase in the power of the alpha-rhythm in the anterior parts of the cortex; in psycho-organic states, power as significantly reduced (especially in the left hemisphere). Contributing to the greater proportion of flat EEG traces in patients with psycho-organic syndromes as compared with other groups of patients. Most patients among the clean-up workers had increased assimilation of flashing light rhythms and weakening of non-specific and skin galvanic responses to a light stimulus. It was concluded that systemic CNS changes occurred in patients from the clean-up worker groups, especially in those with psycho-organic syndrome.

摘要

对150名参与切尔诺贝利核电站事故清理工作且患有精神障碍的工人进行了研究。将43名工人的脑电图痕迹的视觉分析和计算机分析结果与17名健康受试者的痕迹进行了比较,比较结果显示,工人们最常见的特征是α节律紊乱以及感觉运动皮层中β1活动增强。在类神经症综合征患者(13例)中,皮层前部α节律的功率显著增加;在精神器质性状态下,功率显著降低(尤其是在左半球)。这导致了与其他患者组相比,精神器质性综合征患者中脑电图平坦痕迹的比例更高。清理工人中的大多数患者对闪烁光节律的同化增加,对光刺激的非特异性和皮肤电反应减弱。得出的结论是,清理工人组的患者出现了全身性中枢神经系统变化,尤其是那些患有精神器质性综合征的患者。

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