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帕金森病伴认知障碍及Alzheimer's病患者听觉事件相关诱发电位的特点分析

赵洁皓 黄智恒 何雪桃 聂坤 张玉虎 王丽娟

临床神经病学杂志2017,Vol.30Issue(6):401-404,4.
临床神经病学杂志2017,Vol.30Issue(6):401-404,4.

帕金森病伴认知障碍及Alzheimer's病患者听觉事件相关诱发电位的特点分析

Comparative study of audition event-related potentials in patient with Parkinson's disease with cognitive impairment and Alzheimer's disease

赵洁皓 1黄智恒 1何雪桃 1聂坤 1张玉虎 1王丽娟1

作者信息

  • 1. 510018 广州,广东省人民医院(广东省医学科学院)神经内科
  • 折叠

摘要

Abstract

Objective To compare auditory event-related evoked potentials ( ERPs ) features for the patients with mild cognitive impairment ( MCI), Alzheimer's disease ( AD) and Parkinson's disease ( PD) with cognitive function disorders .Methods Two hundred and sixty-one subjects were divided into: Parkinson's dementia ( PDD) group(n=21), PD with mild cognitive impairment (PDMCI) group(n =48), PD without cognitive impairment (PDCN) group(n=54), AD group(n=60), MCI group(n=35) and the normal control (NC)group(n=43). They all underwent neurological and neuropsychological examination , functional assessment , neurological imaging and recorded event-related evoked potentials , including sensory ( N100, P200 ) and cognitive ( N200, P300 ) events evoked potentials .The changes and characteristics of ERPs in each group were analyzed .Results Compared with the NC group, P3 latency in MCI and PDCN group was significantly longer ( all P<0.05).Compared with MCI group, P3 latency extended was more significant (P<0.05).Compared with NC group, N2 latency was significantly longer in PDMCI group(P<0.05);but not in the MCI group (P>0.05).Conclusions P3 can serve as sensitive nerve electrophysiological index assisted diagnosis in PDMCI , MCI and AD , especially in PD patients .The various characteristics of ERPs between PD with cognitive impairment and AD and MCI , including prolonger of N 2 latency and P3 latency appears at early stage of the PD with cognitive impairment ,reflect the differenct development process of cognitive disorders between the AD and PDD .

关键词

事件相关诱发电位/轻度认知功能障碍/认知/帕金森病/Alzheimer's病

Key words

event-related potential/mild cognitive impairment/cognition/Parkinson's disease/Alzheimer's disease

分类

医药卫生

引用本文复制引用

赵洁皓,黄智恒,何雪桃,聂坤,张玉虎,王丽娟..帕金森病伴认知障碍及Alzheimer's病患者听觉事件相关诱发电位的特点分析[J].临床神经病学杂志,2017,30(6):401-404,4.

基金项目

国家自然科学基金(30801219,30870863) (30801219,30870863)

广东省科技计划项目(2011B080701087) (2011B080701087)

临床神经病学杂志

OACSTPCD

1004-1648

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