临床精神医学杂志
臨床精神醫學雜誌
림상정신의학잡지
JOURNAL OF CLINICAL PSYCHOLOGICAL MEDICINE
2015年
2期
93-95
,共3页
梁学军%甘景梨%程正祥%高存友%段惠峰
樑學軍%甘景梨%程正祥%高存友%段惠峰
량학군%감경리%정정상%고존우%단혜봉
住院军人%述情障碍%P300%认知损害
住院軍人%述情障礙%P300%認知損害
주원군인%술정장애%P300%인지손해
hospitalizedsoldiers%alexithymia%P300%cognitiveimpairment
目的:探讨综合医院住院军人述情障碍和事件相关电位P300特征,及两者的相关关系。方法:随机抽取解放军第91医院住院的86名军人作为研究组,选择某部80名健康军人作为对照组,两组均给予多伦多述情障碍量表( TAS-20)评定以及事件相关电位P300检测,并将结果进行统计分析。结果:研究组和对照组比较,研究组TAS-20总分及各因子分均高于对照组( P<0.05或P<0.01);研究组N2、P3波潜伏期(PL)延长,P3波幅(Amp)降低(P<0.01);相关分析发现,住院军人P300的N2、P3波潜伏期与TAS-20总分及各因子呈显著正相关( r=0.296?0.367,P<0.05),与P3波幅呈显著负相关(r=-0.317?-0.334,P<0.05)。结论:住院军人存在一定程度的述情障碍和认知功能损害,认知功能损害一定程度反映述情障碍水平。
目的:探討綜閤醫院住院軍人述情障礙和事件相關電位P300特徵,及兩者的相關關繫。方法:隨機抽取解放軍第91醫院住院的86名軍人作為研究組,選擇某部80名健康軍人作為對照組,兩組均給予多倫多述情障礙量錶( TAS-20)評定以及事件相關電位P300檢測,併將結果進行統計分析。結果:研究組和對照組比較,研究組TAS-20總分及各因子分均高于對照組( P<0.05或P<0.01);研究組N2、P3波潛伏期(PL)延長,P3波幅(Amp)降低(P<0.01);相關分析髮現,住院軍人P300的N2、P3波潛伏期與TAS-20總分及各因子呈顯著正相關( r=0.296?0.367,P<0.05),與P3波幅呈顯著負相關(r=-0.317?-0.334,P<0.05)。結論:住院軍人存在一定程度的述情障礙和認知功能損害,認知功能損害一定程度反映述情障礙水平。
목적:탐토종합의원주원군인술정장애화사건상관전위P300특정,급량자적상관관계。방법:수궤추취해방군제91의원주원적86명군인작위연구조,선택모부80명건강군인작위대조조,량조균급여다륜다술정장애량표( TAS-20)평정이급사건상관전위P300검측,병장결과진행통계분석。결과:연구조화대조조비교,연구조TAS-20총분급각인자분균고우대조조( P<0.05혹P<0.01);연구조N2、P3파잠복기(PL)연장,P3파폭(Amp)강저(P<0.01);상관분석발현,주원군인P300적N2、P3파잠복기여TAS-20총분급각인자정현저정상관( r=0.296?0.367,P<0.05),여P3파폭정현저부상관(r=-0.317?-0.334,P<0.05)。결론:주원군인존재일정정도적술정장애화인지공능손해,인지공능손해일정정도반영술정장애수평。
Objective:To investigate the alexithymia characteristic and the event related potential P300 of the hospitalized soldiers in the polyclinic,and the relationship of the two. Method:Randomly selected 86 soldiers of the NO. 91. central hospital of P. L. A. as the research group,choose one 80 healthy men as the con-trol group,two groups were given the Toronto alexithymia scale(TAS-20)and the event related potential P300 tests,and the results were statistically analyzed. Results:The research group’s TAS-20 total score and each factor score were higher than the other one.(P<0. 05 or P<0. 05). While the N2,P3 latent period(PL)pro-longed,P3 amplitude(Amp)reduced(P<0. 01). The correlation analysis found that N2 and P3 latent period of P300 showed significant positive correlation with the TAS-20 total score and each factor(r=0. 296?0. 367, P<0. 05),while significantly negative correlated with the P3 amplitude. Conclusion:Certain degree of alexi-thymia and cognitive impairment exists among the hospitalized soldiers and cognitive function damage can objec-tively reflect the level of alexithymia.