Responses of Patients with Disorders of Consciousness to Habit Stimulation: A Quantitative EEG Study.

Responses of Patients with Disorders of Consciousness to Habit Stimulation: A Quantitative EEG Study.
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意识障碍患者对习惯刺激的反应:定量脑电图研究

DOI:
10.1007/s12264-018-0258-y
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发表时间:
2018-08
影响因子:
5.6
通讯作者:
Yang Y
Yang Y
中科院分区:
医学2区
文献类型:
--
作者:
Li J;Shen J;Liu S;Chauvel M;Yang W;Mei J;Lei L;Wu L;Gao J;Yang Y

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习惯刺激在DOC患者唤醒中是否有效尚未报道。本文分析了DOC患者对习惯刺激的反应。招募了19名有饮酒或吸烟习惯的DOC患者,并在静息状态和三种刺激状态下采集64通道EEG信号。采用小波变换和非线性动力学方法提取脑电信号的特征,并选取4个脑叶研究脑电信号对习惯刺激的反应程度。结果表明,对呼唤名字刺激的脑电反应程度最高,其次是习惯刺激和音乐刺激。习惯刺激与音乐刺激、习惯刺激与呼唤名字刺激的脑电小波能量和反应系数均存在显著差异。这些发现证明,习惯刺激比音乐刺激在DOC患者中诱导相对更强烈的脑电反应,这表明它可能是引发患者觉醒的一种相关的额外方法。
Whether habit stimulation is effective in DOC patient arousal has not been reported. In this paper, we analyzed the responses of DOC patients to habit stimulation. Nineteen DOC patients with alcohol consumption or smoking habits were recruited and 64-channel EEG signals were acquired both at the resting state and at three stimulation states. Wavelet transformation and nonlinear dynamics were used to extract the features of EEG signals and four brain lobes were selected to investigate the degree of EEG response to habit stimulation. Results showed that the highest degree of EEG response was from the call-name stimulation, followed by habit and music stimulations. Significant differences in EEG wavelet energy and response coefficient were found both between habit and music stimulation, and between habit and call-name stimulation. These findings prove that habit stimulation induces relatively more intense EEG responses in DOC patients than music stimulation, suggesting that it may be a relevant additional method for eliciting patient arousal.
DOI: 10.1016/s1474-4422(08)70219-9
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