纹状体参与联想学习记忆的功能磁共振成像和临床研究

目的 运用脑功能磁共振成像(fMRI)技术探讨人脑纹状体是否参与语义的联想学习记忆的认知过程.方法 14名右利手健康志愿者进行一项词语联想学习记忆任务的同时行fMRI扫描.试验采用组块设计并用SPM99软件行数据分析和脑功能区定位.收集纹状体损伤患者和年龄等相匹配健康者各14例分别进行词语联想学习记忆量表测试.采用单样本t检验,阈值设为P＜0.05.结果 左枕叶在任务的编码时被显著激活(激活强度t值=13.87),左顶叶在记忆提取阶段被显著激活(激活强度t值=8.73);纹状体在记忆的两阶段均被明显激活(激活强度t值=7.02/7.47);纹状体损伤患者和年龄等匹配健康者的词语联想学习记忆量表测试的成绩分别是(11.53±1.39)分和(19.18±2.89)分,纹状体损伤者成绩明显低于健康者(P＜0.01).结论 人脑处理语义的联想学习记忆信息是由皮质和纹状体等皮质下结构共同协作完成的;纹状体损伤患者会出现词语联想学习记忆认知功能障碍.

A study on striatum involved in associative learning memory by functional magnetic resonance imaging technique and clinical observation

Objective To examine whether the striatum are involved in associative learning and memory cognitive function of human brain by functional magnetic resonance imaging (fMRI) technique and clinical observation.Methods 14 right-handed normal volunteers participated in a test of paired-word associative learning and memory ,while the fMRI data were recorded.Control tasks were performed for the block-design.SPM 99 was used to analyze the data and to obtain the activated brain regions.14 patients with striatum damages and 14 matched normal volunteers participated in a test of paired-word associative learning and memory.Results When the threshold was set as P＜0.005 ,using a one-sample t -test ,the left occipital lobe (t=13.87)were activated remarkably during the encoding process of the paired-word associative learning and memory task.However,during the retrieval process,the prominently activated brain regions were the left parietal lobe (t=8.73).The striatum (t=7.02/7.47) were also obviously activated during these two stages.The scores of the paired-word associative learning and memory test on the patients with striatum damages and the healthy volunteers were respectively 11.53±1.39 and 19.18±2.89 ,the difference was significant (P ＜ 0.001).Conclusion The results of this study reveal that the subcortical structures such as the striatum as well as the cerebral cortex are involved in the associative learning and memory in human brain ,and the damages of striatum would show the disorder of associative learning and memory cognitive function.