中国当代医药2024,Vol.31Issue(10) :4-9.

基于加权相位延迟指数的阿尔茨海默病静息态脑电图定量分析

Quantitative analysis of resting state electroencephalogram in Alzheimer's disease based on weighted phase lag index

叶星 闫奕欣 王荧荧 石静萍
中国当代医药2024,Vol.31Issue(10) :4-9.

基于加权相位延迟指数的阿尔茨海默病静息态脑电图定量分析

Quantitative analysis of resting state electroencephalogram in Alzheimer's disease based on weighted phase lag index

叶星 1闫奕欣 1王荧荧 1石静萍1
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作者信息

  • 1. 南京医科大学附属脑科医院神经内科,江苏南京 210029
  • 折叠

摘要

目的 分析阿尔茨海默病(AD)、轻度认知功能障碍(MCI)患者定量脑电图的特征,探讨定量脑电图在早期检测和评估认知衰退方面的效用.方法 本研究选取AD患者、MCI患者和认知功能正常的老年人作为研究对象,采用64导脑电图记录静息状态下脑电信号,通过加权相位延迟指数(wPLI)分析入组患者全脑功能连接的差异性.结果 AD组在θ频段的相对功率超过对照组,在β频段则低于对照组.此外,三组间的功能连接呈现差异性.在θ和δ频段,AD组不同脑区之间的相位同步性增强.而在α频段中,AD组局部脑区之间功能连接强度减弱.同时,θ和β频段下的全脑电极平均相功率改变均与临床认知评估量表呈现相关关系.结论 定量脑电图分析显示AD患者脑波存在频率慢化的特点.另外,AD患者同时存在脑网络皮层神经通路功能代偿和失连接现象.

Abstract

Objective To analyze the characteristics of quantitative electroencephalogram in patients with Alzheimer's dis-ease(AD)and mild cognitive impairment(MCI),and to explore the utility of quantitative electroencephalogram in early de-tection and assessment of cognitive decline.Methods In this study,AD patients,MCI patients and the elderly with normal cognitive function were selected as the research objects.64-lead electroencephalogram was used to record electroen-cephalogram signals at rest state,and weighted phase lag index(wPLI)was used to analyze the difference of functional con-nectivity in the whole brain of enrolled patients.Results The relative power of AD group was higher than that of control group in θ band,but lower than that of control group in β band.In addition,functional connections between the three groups were different.In the θ and δ bands,the phase synchronization between different brain regions in AD group were enhanced.In the α band,the functional connections between local brain regions were weakened in AD group.At the same time,the average phase power of the whole brain electrodes in θ and β bands were correlated with the clinical cognitive assessment scale.Conclusion Quantitative electroencephalogram analysis showed that the frequency of brain wave in AD patients was moderated.In addition,AD patients have functional compensation and disconnection of cortical neural path-ways in the brain network.

关键词

阿尔茨海默病/脑电图/功率谱/加权相位延迟指数

Key words

Alzheimer's disease/Electroencephalogram/Power spectrum/Weighted phase lag index

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基金项目

江苏省科技计划(BE2023669)

江苏省南京市卫生科技发展专项(ZKX19029)

南京医科大学科技发展基金(NMUB2018206)

出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
参考文献量42
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