常规脑电图结合事件相关电位P300在注意缺陷和多动障碍患者中的特点及其临床应用
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福建省卫生健康青年科研项目(2019-2-54);


The characteristics and clinical application of routine electroencephalo-gram combined with event-related potential P300 in patients with attention deficit and hyperactivity disorder
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    摘要:

    目的:分析常规脑电图结合事件相关电位P300在注意缺陷和多动障碍患者中的特点及临床应用。方法:选取注意缺陷患者为注意缺陷组(n=50);多动障碍患者为多动障碍组(n=50);另选取健康体检者为对照组(n=50)。比较各组患者一般资料及常规脑电图、事件相关电位P300检查,获取Pz、Cz、Fz潜伏期、波幅、δ波、θ波、α波波幅及频率、脑电图异常情况。结果:各组对象性别、年龄、身体质量指数、文化水平、营养不良状况比较,差异无统计学意义(P>0.05);与对照组相比,注意缺陷组、多动障碍组患者有脑外伤史占比较高,MoCA评分较低(P<0.05);注意缺陷组、多动障碍组脑外伤史、MoCA评分均无统计学差异(P>0.05)。与对照组相比,注意缺陷组、多动障碍组患者Pz、Cz、Fz潜伏期水平均较高,波幅水平均较低,脑电图异常率较高,δ波、θ波、α波波幅水平均较高(P<0.05);注意缺陷组、多动障碍组患者Pz、Cz、Fz潜伏期及波幅、δ波、θ波、α波波幅水平、脑电图异常率无统计学差异(P>0.05);各组δ波、θ波、α波频率水平对比无统计学差异(P>0.05)。ROC曲线显示,与事件相关电位P300、常规脑电图单项诊断相比,联合检测诊断注意缺陷、多动障碍的敏感性、准确性较高(P<0.001)。结论:注意缺陷和多动障碍患者Pz、Cz、Fz潜伏期、脑电图异常率、δ波、θ波、α波波幅水平较高,Pz、Cz、Fz波幅水平较低,常规脑电图结合事件相关电位P300对注意缺陷和多动障碍的诊断价值较高。

    Abstract:

    Objective:To analyse the characteristics and clinical application of routine electroencephalogram combined with e-vent-related potential P300 in patients with attention deficit and hyperactivity disorder.Methods:Selected 50 patients with attention def-icit as the attention deficit group,50 patients with hyperactivity disorder as the hyperactivity disorder group,and another 50 healthy indi-viduals for physical examination as the control group.All patients in each group underwent general data statistics and routine EEG and event-related potential P300 examinations to obtain the latency,amplitude,8 wave,θ wave,α wave amplitude and frequency of Pz,Cz,and Fz,as well as abnormal EEG conditions.Results:There were no significant differences in gender,age,body mass index,educational level,and malnutrition among the three groups(P>0.05).Compared with the control group,the attention deficit group and hyperactivi-ty disorder group had a higher proportion of patients with a history of traumatic brain injury and lower MoCA scores(P<0.05).There was no significant difference in the history of traumatic brain injury and MoCA score between the attention deficit group and the hyper-activity disorder group(P>0.05).Compared with the control group,patients with attention deficit and hyperactivity disorder had high-er levels of latent periods of Pz,Cz,and Fz,lower levels of wave amplitudes,higher rates of EEG abnormalities,and higher levels of am-plitude of δ,θ,and α waves(P<0.05).There was no significant difference in the latency and amplitude of Pz,Cz,and Fz,as well as the amplitude levels of δ,θ,and α waves,and the proportion of abnormal EEG between the attention deficit group and the hyperactivity disorder group(P>0.05).There was no significant difference in the frequency levels of the three groups of δ wave,θ wave,and αwave(P>0.05).The ROC curve showed that compared with the single diagnosis of event-related potential P300 and conventional e-lectroencephalogram,the combined detection had higher sensitivity and accuracy in diagnosing attention deficit and hyperactivity disor-der(P<0.001).Conclusion:Patients with attention deficit and hyperactivity disorder have higher latent periods of Pz,Cz,and Fz,ab-normal rates of EEG,and higher levels of amplitude of δ,θ,and α waves,while lower levels of amplitude of Pz,Cz,and Fz waves.The diagnostic value of routine EEG combined with event-related potential P300 for attention deficit and hyperactivity disorder is relatively high.

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林红;黄静;邹雪萍;李宗磊;.常规脑电图结合事件相关电位P300在注意缺陷和多动障碍患者中的特点及其临床应用[J].川北医学院学报,2025,40(2):195-199.

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  • 在线发布日期: 2025-07-24
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