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老年人脑电图与认知功能的关系研究

Study of relationship between EEG and cognitive decline in aged peoples

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【作者】 苗茂华曲成毅任艳峰白丽霞高尔生

【Author】 MIAO Maohua, QU Chengyi, REN Yanfeng, et al Detp of Epidemiology , Shanxi Medical University, Taiyuan (030001), China

【机构】 山西医科大学流行病教研室山西医科大学流行病教研室上海市计划生育科学研究所

【摘要】 目的:探讨老年人脑电图(EEG)与认知功能的关系。方法:对569名老年人进行EEG 检查及认知功能测验,用选自韦氏成人智力量表(WAIS-R)的算术、数字广度、填图、木块图以及简易智能状态检查表(MMSE)等五项测验逐个测量老年人的认知水平。在第一次测查一年后,对其中373 名老年人重复进行认知功能测查。结果:MMSE及数字广度测验的得分变化与各位点EEG θ、δ波功率值有关,MMSE:得分下降组基线θ、δ波功率值高于MMSE得分不变组,差异有统计学意义,主要以头后部各区(T3、T5,P3、O1,O2,T4、T6)为明显。T6处θ波功率为9.25μV2,对MMSE得分下降诊断的灵敏度为0.73,特异度为0.64。T3处θ波功率的增加为8.75μV2,对数字广度得分下降诊断的灵敏度为 0.75,特异度为0.56。结论:EEG θ波功率的增加对了解认知功能下降有重要的参考价值。

【Abstract】 Objective: To explore the relationship between EEG and cognitive decline in aged people. Methods: 569 aged people were surveyed by EEG examination and cognitive test including arithmetic, digit span, picture filling and block design. The cognitive tests were repeated twelve months later. Results:The decline of score of MMSE and digit span correlate with the EEG θ.δ power, the obvious difference of the channels in back head was statistically significant. The θ power of right back temporal can predict the decline of MMSE. The sensitivity is 0. 73, and the specificity is 0. 64 at the point 9. 25. The θ power of left middle temporal can predict the decline of digit span. The sensitivity is 0. 75, and the specificity is 0. 56 at the point 8. 75. Conclusions:The in crease of EEG θpower is of great importance in the diagnose of cognitive decline.

【关键词】 老年认知脑电图
【Key words】 Aged peopleCognitionEEG
  • 【文献出处】 临床神经电生理学杂志 ,Journal of Clinical Electroneurophysiology , 编辑部邮箱 ,2006年03期
  • 【分类号】R741.044
  • 【被引频次】10
  • 【下载频次】129
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