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老年性痴呆患者认知功能与单胺类神经递质的关系
引用本文:宋景贵,张宁,穆俊林,杨庆南,顾仁骏.老年性痴呆患者认知功能与单胺类神经递质的关系[J].郑州大学学报(医学版),2010,45(1).
作者姓名:宋景贵  张宁  穆俊林  杨庆南  顾仁骏
作者单位:新乡医学院第二附属医院神经内科,新乡,453002
基金项目:河南省医学科技创新人才工程基金资助项目2005069
摘    要:目的:探讨老年性痴呆(SD)患者认知功能与单胺类神经递质的关系.方法:对50例SD患者和48例正常人(对照组)分别进行事件相关电位(ERP)、探究性眼动分析(EEM)和血浆单胺类神经递质(去甲肾上腺素、多巴胺和5-羟色胺)水平的测定.结果:SD组ERP异常率为96%(48/50).与对照组比较,SD组ERP中N2、P3潜伏期延长,P3波幅降低(t分别为3.453、4.972和6.544,P均<0.001);EEM测定巾的凝视点(NEF)及反应探索评分(RSS)值减少,D值增加(t分别为8.072、6.724和7.953,P均<0.001);血浆去甲肾上腺素、多巴胺和5-羟色胺水平降低(t分别为4.587、3.971和3.534,P均<0.001).相关分析显示SD组P3潜伏期、D值与去甲肾上腺素、多巴胺和5-羟色胺血浆水平呈负相关(r=-0.46~-0.33,P均<0.05),而P3波幅、NEF、RSS与其呈正相关(r=0.32~0.48,P均<0.05).结论:SD患者认知障碍和血浆单胺类神经递质水平下降间存在相关性.

关 键 词:老年性痴呆  认知功能  单胺类神经递质

Relationship between cognition and the plasma levels of monoamine neurotransmitters of senile dementia patients
SONG Jinggui , ZHANG Ning , MU Junlin , YANG Qingnan , GU Rerun.Relationship between cognition and the plasma levels of monoamine neurotransmitters of senile dementia patients[J].Journal of Zhengzhou University: Med Sci,2010,45(1).
Authors:SONG Jinggui  ZHANG Ning  MU Junlin  YANG Qingnan  GU Rerun
Institution:SONG Jinggui,ZHANG Ning,MU Junlin,YANG Qingnan,GU RenjunDepartment of Neurology,the Second Affiliated Hospital,Xinxiang Medical College,Xinxiang 453002
Abstract:Aim:To explore the relationship between cognition and the plasma levels of monoamine neurotransmitters of senile dementia(SD) patients.Methods:A total of 50 SD patients and 48 normal controls were subjected to test the event-related potential(ERP),exploratory eye movement(EEM)and the plasma levels of noradrenalin(NE),dopamine(DA) and 5-HT.Results:The abnormal rate of ERP in SD patients was 96%(48/50).Compared with those of the normal control,the latencies of N2 and P3 of ERP were longer and the amplitude of...
Keywords:senile dementia  cognition  monoamine neurotransmitter  
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