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精神分裂症患者认知性电位的检测
引用本文:陈兴时,张明岛.精神分裂症患者认知性电位的检测[J].中华医学杂志,1999,79(9):676-678.
作者姓名:陈兴时  张明岛
作者单位:上海市精神卫生研究所(陈兴时!200030,张明岛!200030,楼翡璎!200030,梁建华!200030),上海第二医科大学(王继军)
摘    要:目的 探讨精神分裂症患者认知性电位(CEP)特征以及治疗缓散后CEP变化,方法 应用美国CA-1000型电生理仪,建立光和声2种成对刺激方法的关联性负变(CNV)以及声,光,触3种刺激方法的长潜时电位(AEP,VEP,SEP),对31例精神分裂症患者进行CNV,AEP,VEP和SEP测定,并对其中25例患者作了CEP随访。结果 患者组与对照组比较,在CNV潜伏期A点及PINV,上明显延迟,分别为(

关 键 词:精神分裂症  关联性负变  认知性电位

Cognitive evoked potentials in patients with schizophrenia
CHEN Xingshi ,ZHANG Mingdao,LOU Feiying,et al.Cognitive evoked potentials in patients with schizophrenia[J].National Medical Journal of China,1999,79(9):676-678.
Authors:CHEN Xingshi  ZHANG Mingdao  LOU Feiying  
Institution:Shanghai Institute of Mental Health, Shanghai 200030.
Abstract:Objective To investigate the features of cognitive evoked potentials (CEPs) in schizophrenics and the changes of CEPs between the duration of episode and remission Methods The present study was made with stimuli of auditory, visual, and somatosensory modalities CEPs were recorded from 31 episodical schizophrenics and 25 of them were retested when their clinical symtoms rempitted Results The episodical patients showed significantly longer A latency ( P <0 05) and PINV latency ( P <0 01), and smaller A S 2' area ( P <0 01) Shorter latency was associated with P2 of auditory evoked potential , visual evoked potential and somatosensory evoked potential ( P <0 05), P1 of AEP, N2 of VEP, and N1 of SEP ( P <0 05) Longer latency was associated with P3 of AEP ( P <0 05) Diminished amplitude was associated with N1 P2 of AEP and N1 P2 of VEP, P2 of VEP, and P2 N2 of SEP ( P <0 05) The follow up study revealed that when the psychiatric symptoms remitted, the waveform of CEPs became more steady; amplitude B of CNV, N1 P2 of VEP and P2 N2 of SEP were increased ( P <0 05); the amplitude P2 of AEP and VEP, and P1of AEP were increased into the normal range Conclusion The variations of CEPs are the state marker of schizophrenia
Keywords:Schizophrenia      Contingent negative variation    Cognition
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