精神分裂症患者的运动相关脑电位。

Y Takasaka
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引用次数: 38

摘要

对36例精神分裂症患者的运动相关脑电位(MPs) P2分量(从按键触发到P2: T-N潜伏期开始的时间、P2: N-P间隔宽度、P2: N-P振幅)及各种临床因素进行了测量,并与35例正常人进行了统计比较。P2部分有22/36的精神分裂症患者出现异常。这三项指标,尤其是N-P间隔,与记录MPs时的各种临床症状显著相关,但与先前最严重阶段无关。精神分裂症的慢性性影响了T-N潜伏期和N-P间期的各项测量,两者均显著长于正常受试者。压力强度、敲键速度、肌肉收缩持续时间(即敲键方式)和抗精神病药日用量对P2组分无影响。这些结果表明,1)MPs的P2组分作为动作信息加工的信号与某些脑功能有关,而不是与外周反馈机制有关;2)精神分裂症病理精神状态下MPs的异常波形可能是动作、注意和意志中枢机制紊乱的反映。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Movement-related cerebral potentials in schizophrenics.

Measures concerning the P2 component of movement-related cerebral potentials (MPs) (the time from the trigger produced by key-tapping to the onset of P2: T-N latency, the width of P2: N-P interval, and the amplitude of P2: N-P amplitude) and various clinical factors of 36 schizophrenics were studied and statistically compared with those of 35 normal subjects. Concerning the P2 component, 22/36 of the schizophrenics showed abnormal findings. These three measures, especially the N-P interval, are significantly related to various clinical symptoms at the stage when the MPs were recorded but are not related to the previous worst stage. The chronicity of schizophrenic illness influenced each measure of the T-N latency and N-P interval, both of which were significantly longer than those of the normal subjects. The pressure strength, the velocity of key-tapping, the duration of muscular contraction, (namely the manner of key-tapping) and the daily dosage of neuroleptics did not affect the P2 component. These results suggest that 1) the P2 component of MPs is related to certain brain functions as a signal of information processing concerning action and not to the peripheral feed-back mechanism and 2) abnormal waveforms of the MPs found in pathological psychiatric conditions of schizophrenia may be a reflection of disturbances of the central mechanism concerning action, attention and volition.

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