抑郁症患者临床治愈后中枢执行网络的功能连接

Jiaqi Zhong, Zhenzhen Wang, Yang Han, Changjun Teng, Hui Wang, Ning Zhang, Hui Ma
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引用次数: 0

摘要

目的研究抑郁症患者临床治愈后中枢执行网络功能连接的变化。方法选择符合临床治愈标准的抑郁症患者17例(患者组)和健康对照组22例(对照组)。分别从健康对照组和患者组收集基线rs-fMRI数据,并在6个月后再次收集患者组的rs-fMRI数据。比较两组中央执行网络功能连接的变化。结果与对照组相比,在基线时,患者组的左顶叶下小叶(MNI:x,y,z=-39,-69,33)和右脑岛(MNI:x,y,z=15,-45,30)存在高度的功能连接。与基线相比,患者组在临床治愈6个月后,左顶叶下叶(MNI:x,y,z=-60,-48,21)和右背外侧前额叶(MNI:x,y,z=24,18,60)的部分区域存在高功能连接,左顶叶下叶部分区域存在低功能连接(MNI:x,y、z=-51,-69,18)。与对照组相比,患者组在临床治愈6个月后,右侧背外侧前额叶(MNI:x,y,z=45,51,-6)和右侧顶叶下叶(MNI:x,y,z=42,-48,27)具有高度的功能连接。结论抑郁症患者中枢执行网络功能连接尚未恢复,相关异常在达到临床治愈标准后6个月内不稳定。关键词:中央行政网络;临床治愈;重度抑郁症;静止状态功能连接
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The functional connection of central executive network in patients with depression after clinical cure
Objective To study the changes in the functional connections of the central executive network in patients with depression after clinical cure. Methods Seventeen depression patients who met the clinical cure standard (patient group) and twenty-two healthy controls (control group) were selected.The baseline rs-fMRI data were collected from the healthy control group and the patient group respectively, and the rs-fMRI data in the patient group were collected again after 6 months.Compared the changes of central executive network function connection between the two groups. Results At baseline, there was a high functional connection in the left inferior parietal lobule(MNI: x, y, z=-39, -69, 33)and right insula(MNI: x, y, z=15, -45, 30) in the patient group compared with the control group.Compared with the baseline, there were high functional connections in part of the left inferior parietal lobe (MNI: x, y, z=-60, -48, 21) and the right dorsolateral prefrontal lobe (MNI: x, y, z=24, 18, 60), and low functional connections in part of the left inferior parietal lobe (MNI: x, y, z=-51, -69, 18) in patient group 6 months after clinical cure.Compared with the control group, there was a high functional connection in the right dorsolateral prefrontal lobe (MNI: x, y, z=45, 51, -6) and the right inferior parietal lobe (MNI: x, y, z=42, -48, 27) in patient group 6 months after clinical cure. Conclusion The functional connection of central executive network of depression patients has not been restored, and the related abnormality is not stable in six months after reaching the clinical cure standard. Key words: Central executive network; Clinical cure; Major depressive disorder; Resting state function connection
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期刊介绍: "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.
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