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心气虚证冠心病患者的认知功能和心脑电耦合的关系研究

霍碧岫 王斌 张云河 冯思同 宁艳哲 贾竑晓

世界科学技术-中医药现代化2025,Vol.27Issue(11):3108-3118,11.
世界科学技术-中医药现代化2025,Vol.27Issue(11):3108-3118,11.DOI:10.11842/wst.20250720008

心气虚证冠心病患者的认知功能和心脑电耦合的关系研究

Relationship Between Cognitive Function and Cardio-Electroencephalographic Coupling in Coronary Heart Disease Patients with Heart-Qi Deficiency Pattern

霍碧岫 1王斌 1张云河 2冯思同 1宁艳哲 1贾竑晓1

作者信息

  • 1. 首都医科大学附属北京安定医院 国家精神疾病医学中心 国家精神心理疾病临床医学研究中心 精神疾病诊断与治疗北京市重点实验室 北京 100088||首都医科大学 人脑保护高精尖创新中心 北京 100069
  • 2. 赤峰市精神病防治院 赤峰 024050
  • 折叠

摘要

Abstract

Objective To explore their inter-relationship,cognitive performance and cardio-electroencephalographic coupling in coronary heart disease(CHD)patients with heart-qi deficiency pattern were characterized.Methods Thirty CHD patients who met the diagnostic criteria for heart-qi deficiency were enrolled.Thirty healthy volunteers without heart-qi deficiency or CHD served as controls.Cognitive function was assessed with the repeatable battery for the assessment of neuropsychological status(RBANS).Simultaneous resting-state electrocardiogram and electroencephalogram were recorded,and the strength of heart-brain coupling was quantified by calculating the maximal information coefficient(MIC)between heart-rate variability(HRV)and EEG signals.Results Compared with controls,heart-qi deficiency CHD patients showed lower RBANS total scores and reduced performance in immediate memory,visuospatial/constructional ability,and attention.Significant between-group differences in HRV-EEG MIC values were observed at several channels(P<0.05).In patients,the MIC values for HRV-Beta(channel FC1)and HRV-Delta(channel F2)were positively correlated with RBANS total score(P<0.05).Conclusion CHD patients with heart-qi deficiency exhibit impaired cognition and altered cardio-electroencephalographic coupling.These findings suggest that heart-brain interactions may contribute to the pathophysiological mechanisms underlying cognitive decline in this population.

关键词

冠心病/认知功能/最大信息系数/心脑耦合

Key words

Coronary heart disease/Cognitive function/Maximal information coefficient/Heart-brain coupling

分类

医药卫生

引用本文复制引用

霍碧岫,王斌,张云河,冯思同,宁艳哲,贾竑晓..心气虚证冠心病患者的认知功能和心脑电耦合的关系研究[J].世界科学技术-中医药现代化,2025,27(11):3108-3118,11.

基金项目

国家自然科学基金委员会面上项目(82474429):《内经》火行人和水行人自上而下和自下而上注意加工差异的神经机制研究,负责人:贾竑晓. (82474429)

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