首页|阿尔茨海默病患者Stroop范式下大脑连接机制研究

阿尔茨海默病患者Stroop范式下大脑连接机制研究

Study on the brain connection mechanism under stroop paradigm in patients with Alzheimer's disease

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目的 研究阿尔茨海默病(Alzheimer disease,AD)患者在经典认知能力评估范式Stroop下的大脑连接机制变化.方法 选取佛山市第一人民医院的25名受试者作为研究对象,其中包括认知功能正常老年人9名(对照组)、轻度认知功能障碍(mild cognitive impairment,MCI)患者10例和AD患者6例,通过功能近红外光谱成像技术(functional near infrared reflectance spectroscopy,fNIRS)采集研究对象在静息状态和 Stroop 颜色、文字刺激任务状态下大脑皮层激活和效应连接情况.数据采集过程中所使用的fNIRS设备包含61通道,覆盖研究对象大脑双侧额叶、颞叶和枕叶区域,数据分析过程中通过数据滤波、时频变换和动态贝叶斯推理等技术实现.结果 对照组、MCI和AD组在文字、颜色刺激下的任务完成准确率依次下降(96.9%、96.9%、51.6%和96.4%、72.3%、39.1%).三组研究对象在任务状态下双侧颞叶激活程度较静息状态下增加,且任务状态下MCI组和AD组激活程度较对照组表现出降低趋势,激活区域表现出增加趋势;对照组、MCI组和AD组部分脑区间耦合强度表现出依次增加趋势.结论 相较于认知功能正常老年人,MCI和AD患者在完成相同任务时需调用更多大脑资源,大脑激活区域增大,但激活强度降低.
Objective To study the brain connection mechanism changes under clinical cognition evaluation paradigm-stroop-in patients with Alzheimer's disease(AD).Methods Twenty-five subjects in the First People's Hospital of Foshan were selected,including nine cognitively normal elderly,ten elderly with mild cognitive impairment(MCI),and six elderly patients with AD.We calculated the brain cortical activation and effective connection of subjects under rest state and task state(i.e.stroop color and text state)with functional near infrared reflectance spectroscopy(fNIRS)technology.The used fNIRS data collection equipment had 61 channels,covering the bilateral prefrontal,temporal and occipital cortices.The data analysis processes were implemented with data filtering,time-frequency transformation and Bayesian reasoning technologies.Results Under the stimulation of text and color,the finishing accuracy in cognitively normal elderly,MCI,and AD groups decreased gradually(96.9%,96.9%,51.6%and 96.4%,72.3%,39.1%).Compared the rest and task state,the activation degree of three groups increased in the temporal cortices,For the three research groups,the activation degree decreased,while the activation area and the coupling degree increased gradually in task state.Conclusions Compared with the cognitively normal elderly,the patients with MCI and AD need more brain resources,the activation area increased while the activation degree decreased when finishing the same task.

Alzheimer's diseaseStroop paradigmfunctional near infrared reflectance spectroscopyeffectiveness connection

李青、张迎伟、吕泽平、陈益强、谢海群、吴双

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100176 国家康复辅具研究中心附属康复医院北京市老年功能障碍康复辅助技术重点实验室民政部人体运动分析与康复技术重点实验室

100190 中国科学院计算技术研究所移动终端与新型计算北京市重点实验室中国科学院大学

528000 佛山市第一人民医院

阿尔茨海默病 Stroop范式 功能近红外光谱成像技术 效应连接

国家重点研发计划国家自然科学基金

2018YFC200170061972383

2024

中国神经免疫学和神经病学杂志
卫生部北京医院 中国免疫学会神经免疫学分会

中国神经免疫学和神经病学杂志

CSTPCD
影响因子:0.87
ISSN:1006-2963
年,卷(期):2024.31(1)
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