中华精神科杂志
中華精神科雜誌
중화정신과잡지
CHINESE JOURNA OF PSYCHIATRY
2014年
1期
7-11
,共5页
张小芊%宾光宇%史璐洁%申晨煜%刘晓敏%刘破资
張小芊%賓光宇%史璐潔%申晨煜%劉曉敏%劉破資
장소천%빈광우%사로길%신신욱%류효민%류파자
抑郁症%额叶前皮质%谱学,近红外线%言语流畅性任务%统计参数图方法
抑鬱癥%額葉前皮質%譜學,近紅外線%言語流暢性任務%統計參數圖方法
억욱증%액협전피질%보학,근홍외선%언어류창성임무%통계삼수도방법
Depressive disorder%Prefrontal cortex%Spectroscopy,near-infrared%Verbal fluency task%Statistical parametric mapping
目的 探讨抑郁症患者言语流畅性任务下近红外光光谱(near-infrared spectroscopy,NIRS)的脑激活特征差异.方法 选择语义相关的言语流畅性任务(verbal fluency task,VFT)作为刺激任务,对14例抑郁症患者(患者组)和13名性别、年龄、受教育年限相匹配的健康对照者(对照组)进行测试,利用FOIRE-3000进行脱氧血红蛋白(deoxygenate hemoglobin,Deoxy-Hb)和氧合血红蛋白(oxygenate hemoglobin,0xy-Hb)相对浓度的数据采集,应用SPM软件包对Deoxy-Hb和Oxy-Hb的相对浓度变化值进行数据处理.结果 在任务执行结果无明显差异的前提下,患者组Oxy-Hb和Deoxy-Hb的平均曲线较对照组低平,差异主要位于前额叶背外侧区,如38通道和41通道(相当于brodmann分区的46区,前额叶背外侧区)的Deoxy-Hb(t=3.29、3.47)和Oxy-Hb(t =3.18、4.03)相对浓度变化均P<0.10.结论 在选择合适的认知任务条件下,抑郁症患者双侧前额叶背外侧区激活程度下降.
目的 探討抑鬱癥患者言語流暢性任務下近紅外光光譜(near-infrared spectroscopy,NIRS)的腦激活特徵差異.方法 選擇語義相關的言語流暢性任務(verbal fluency task,VFT)作為刺激任務,對14例抑鬱癥患者(患者組)和13名性彆、年齡、受教育年限相匹配的健康對照者(對照組)進行測試,利用FOIRE-3000進行脫氧血紅蛋白(deoxygenate hemoglobin,Deoxy-Hb)和氧閤血紅蛋白(oxygenate hemoglobin,0xy-Hb)相對濃度的數據採集,應用SPM軟件包對Deoxy-Hb和Oxy-Hb的相對濃度變化值進行數據處理.結果 在任務執行結果無明顯差異的前提下,患者組Oxy-Hb和Deoxy-Hb的平均麯線較對照組低平,差異主要位于前額葉揹外側區,如38通道和41通道(相噹于brodmann分區的46區,前額葉揹外側區)的Deoxy-Hb(t=3.29、3.47)和Oxy-Hb(t =3.18、4.03)相對濃度變化均P<0.10.結論 在選擇閤適的認知任務條件下,抑鬱癥患者雙側前額葉揹外側區激活程度下降.
목적 탐토억욱증환자언어류창성임무하근홍외광광보(near-infrared spectroscopy,NIRS)적뇌격활특정차이.방법 선택어의상관적언어류창성임무(verbal fluency task,VFT)작위자격임무,대14례억욱증환자(환자조)화13명성별、년령、수교육년한상필배적건강대조자(대조조)진행측시,이용FOIRE-3000진행탈양혈홍단백(deoxygenate hemoglobin,Deoxy-Hb)화양합혈홍단백(oxygenate hemoglobin,0xy-Hb)상대농도적수거채집,응용SPM연건포대Deoxy-Hb화Oxy-Hb적상대농도변화치진행수거처리.결과 재임무집행결과무명현차이적전제하,환자조Oxy-Hb화Deoxy-Hb적평균곡선교대조조저평,차이주요위우전액협배외측구,여38통도화41통도(상당우brodmann분구적46구,전액협배외측구)적Deoxy-Hb(t=3.29、3.47)화Oxy-Hb(t =3.18、4.03)상대농도변화균P<0.10.결론 재선택합괄적인지임무조건하,억욱증환자쌍측전액협배외측구격활정도하강.
Objective To investigate the difference of brain activation patterns between depression patients and normal persons by near-infrared spectroscopy imaging.Methods Totally 14 depressed patients and 13 sex,age,and education matched healthy controls were required to perform category verbal fluency task (VFT).The relative concentration of deoxygenate hemoglobin and oxygenate hemoglobin was collected by a 45-channel instrument,and the data was processed with the software of Statistical Parametric Mapping (SPM).Results The task performances were not significantly different between the two groups,the average curve of oxygenate hemoglobin and deoxygenate hemoglobin were lower in depressed patients with significant difference in dorsolateral prefrontal cortex.For instance,the oxygenate change in Channel 38 and Channel 41 was Deoxy-Hb(t =3.29,3.47),Oxy-Hb (t =3.18,4.03),P < 0.10.Conclusion The activation in bilateral dorsolateral prefrontal cortex may be lower in depression patients compared to control group.