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慢性创伤后应激障碍患者的脑功能磁共振研究
引用本文:张丽,郑会蓉,李卫晖,张燕,贺忠,李凌江.慢性创伤后应激障碍患者的脑功能磁共振研究[J].中国临床心理学杂志,2011,19(1):4-6,9.
作者姓名:张丽  郑会蓉  李卫晖  张燕  贺忠  李凌江
作者单位:1. 中南大学湘雅二医院精神卫生研究所,湖南,长沙,410011
2. 中南大学湘雅二医院放射科,湖南,长沙,410011
基金项目:国家自然科学基金(30830046,30670751); 国家科技支撑计划项目(2007BAI17B02); 973计划项目(2006CB5000800,2009CB918303)
摘    要:目的:探讨慢性创伤后应激障碍(post-traumatic stress disorder,PTSD)患者脑功能激活特征。方法:对17例矿难相关的慢性PTSD患者和14例经历相同矿难未患病的对照进行脑功能磁共振成像。使用Matlab6.5和SPM2软件对功能磁共振数据进行处理。结果:与对照组相比,患者组左海马旁回激活增强;右楔前叶激活降低。与中性图片相比,患者组面对负性图片时右海马旁回、右梭状回、右枕下回、双侧枕中回的激活增强;左顶下小叶、左顶上小叶、右中央后回、左楔叶、背外侧前额叶的激活降低。对照组面对负性图片时,右楔前叶激活增强;右岛叶激活降低。结论:这些脑区改变可能反映了PTSD患者症状包括对创伤情绪和记忆加工不足的复杂的生物学机制。

关 键 词:创伤后应激障碍  磁共振成像  

A Functional Magnetic Imaging Study of Brain in Patients with Chronic Post-traumatic Stress Disorder
ZHANG Li,ZHENG Hui-rong,LI Wei-hui,et al Mental Health Institute,Second Xiangya Hospital,Central South University,Changsha ,China.A Functional Magnetic Imaging Study of Brain in Patients with Chronic Post-traumatic Stress Disorder[J].Chinese Journal of Clinical Psychology,2011,19(1):4-6,9.
Authors:ZHANG Li  ZHENG Hui-rong  LI Wei-hui  Mental Health Institute  Second Xiangya Hospital  Central South University  Changsha  China
Institution:ZHANG Li,ZHENG Hui-rong,LI Wei-hui,et al Mental Health Institute,Second Xiangya Hospital,Central South University,Changsha 410011,China
Abstract:Objective:To study the features of brain functional activation in patients with chronic post-traumatic stress disorder(PTSD).Methods:Seventeen miners with chronic PTSD resulting from a severe mining accident and 14 miners exposed to the same accident without PTSD underwent functional magnetic imaging(fMRI).Results:The PTSD group showed greater activation in left parahippocampal gyrus and lower activation in right precuneus than non-PTSD controls.As compared with the control group,the PTSD group showed great...
Keywords:Post-traumatic stress disorder  Magnetic resonance imaging  Brain  
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