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急性创伤后应激障碍患者脑结构的磁共振研究
引用本文:穆允凤,印弘,齐顺,谭庆荣,冯晨,汤丽华,宦怡,任静,葛雅丽,赵海涛.急性创伤后应激障碍患者脑结构的磁共振研究[J].中华神经外科疾病研究杂志,2011,10(1):20-24.
作者姓名:穆允凤  印弘  齐顺  谭庆荣  冯晨  汤丽华  宦怡  任静  葛雅丽  赵海涛
作者单位:第四军医大学西京医院放射科,陕西,西安,710032
摘    要:目的探讨单一、高强度持续刺激所致急性创伤后应激障碍(PTSD)患者早期脑部结构的变化。方法采用基于像素的形态学方法(VBM)研究受试者脑部结构变化。研究对象包括10名急性PTSD患者,10名未患PTSD的矿难幸存者,并对其PTSD症状积分(CAPS)与感兴趣区灰质密度进行相关性分析。结果与对照组相比,急性PTSD患者左侧海马前部、海马旁回和双侧距状裂皮质纹状区的灰质体积明显下降;而其白质体积未见明显变化。双侧距状裂及左侧海马灰质密度与CAPS积分存在显著负相关。结论本研究结果显示早期急性PTSD患者边缘系统的灰质体积明显减小,PTSD患者症状的严重程度与距状裂皮质纹状区和海马区的灰质密度相关。

关 键 词:创伤后应激障碍  磁共振成像  基于像素的形态学  统计参数映射  

Brain structures in acute post-traumatic stress disorder: a magnetic resonance imaging study
MU Yunfeng,YIN Hong,QI Shun,TAN Qingrong,FENG Chen,TANG Lihua,HUAN Yi,REN Jing,GE Yali,ZHAO Haitao.Brain structures in acute post-traumatic stress disorder: a magnetic resonance imaging study[J].Chinese Journal of Neurosurgical Disease Research,2011,10(1):20-24.
Authors:MU Yunfeng  YIN Hong  QI Shun  TAN Qingrong  FENG Chen  TANG Lihua  HUAN Yi  REN Jing  GE Yali  ZHAO Haitao
Institution:MU Yunfeng,YIN Hong,QI Shun,TAN Qingrong,FENG Chen,TANG Lihua,HUAN Yi,REN Jing,GE Yali,ZHAO Haitao Department of Radiology,Xijing Hospital,Fourth Military Medical University,Xi'an 710032,China
Abstract:Objective To detect brain structure changes in acute post-traumatic stress disorder(PTSD) patients who experienced a single,extreme and long-lasting trauma using magnetic resonance imaging.Methods A voxel-based morphometry(VBM) method was used to detect the structure changes in brain of 10 acute PTSD patients and 10 control survivors without PTSD from a coal mine disaster.The correlation between the clinician-administered PTSD Scale(CAPS) and regional gray matter density in the region of interest was also s...
Keywords:Post-traumatic stress disorder  Magnetic resonance imaging  Voxel-based morphometry  Statistical parametric mapping  
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