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Analysis of depression after stroke in patients with brain function default network connectivity rs-fMRI |
LIU Wen-hong, LUO Guang-hua, ZHAO Heng, LIU Jing-cai |
Department of Radiology,the Affiliated First Hospital,University of South China,Hunan Province,Hengyang 421001,China |
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Abstract Objective To study the change of brain network connectivity in patients with poststroke depression using resting multifunctional magnetic resonance imaging (rs-fMRI).Methods From February 2016 to February 2017,30 patients with post-stroke depression were selected as observation group,30 patients with no depression after the same period were selected as the control group.Basic information on patients,the daily life activity score before treatment,4 weeks after treatment and 12 weeks after treatment were compared between the two groups.In addition,all patients were examined by rs-fMRI technique.The bilateral anterior wedge was selected as the region of interest,and the changes of the default network function were calculated and compared.Results The scores of NIHSS in the observation group were (11.1±5.3)points,which was significantly higher than that of the control group[(6.7±2.9)points].The ADLS score of the observation group was (40.2±15.6)points at 4 weeks after treatment and 12 weeks after treatment[(29.2±12.7) points] were significantly higher than those in the control group [(32.1±13.9),(21.5±10.4) points].Compared with the control group,the connection of the right lower lobe,bilateral frontal temporal lobe and left anterior lobe of the anterior fissure was decreased.The bilateral lobular,bilateral frontal temporal lobe and right anterior lobe anterior lobe were decreased functional linkage was significantly higher in the brain area than that in the control group.Conclusion There is a close relation with the occurrence of post-stroke depression and the change of the default network function connection,it is worth focusing on attention.
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Received: 03 August 2017
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[16] |
史丹丹,陈莉,罗天友,等.重性抑郁患者电休克治疗前后脑默认网络的静息态功能磁共振研究[J].中国医学影像学杂志,2016,24(10):721-724.
|
[17] |
王存强,贺顺岭,顾韵泽,等.脑卒中后抑郁者海马和前额叶皮质氢质子波谱分析研究[J].中国实用医刊,2016, 43(17):1-4.
|
[18] |
叶辰飞,吴军,陈旭辉,等.磁共振影像技术在卒中后抑郁疾病的研究进展[J].中国医学物理学杂志,2016,33(10):1038-1046.
|
[1] |
朱峰.规范化健康管理在社区老年脑卒中患者中的应用效果分析[J].中国当代医药,2016,23(6):121-123.
|
[2] |
马春燕,王金桥.早期综合心理护理对改善脑卒中后抑郁症状的影响[J].中国现代医生 2016,54(3):142-145.
|
[3] |
侯晶晶,王春雪,张宁,等.急性缺血性脑卒中伴发抑郁障碍的静息态脑功能磁共振成像研究[J].中国神经免疫学和神经病学杂志,2011,18(4):264-268
|
[4] |
元月,李嫣然.功能磁共振成像在抑郁症中的应用研究进展[J].临床心身疾病杂志,2016,22(5):107-110.
|
[5] |
郜肖肖,邹义壮,陈楠,等.前瞻性记忆两种测量方法对老年精神分裂症患者诊断效度的比较[J].中国心理卫生杂志,2015,29(7):516-521.
|
[6] |
段小慧,刘波,陈俊,等.利用局部一致性方法对针刺足三里穴后脑效应的研究[J].中国中西医结合影像学杂志,2012, 10(1):10-12.
|
[7] |
王慧玲,黄朝云.脑卒中后抑郁合并认知损害的磁共振扩散张量成像研究[J].卒中与神经疾病,2016,23(3):160-163.
|
[8] |
简凤清,方林,谢世平,等.精神分裂症首次发病未治疗患者静息态下局部脑区自发活动的研究[J].临床精神医学杂志,2014,24(1):21-23.
|
[9] |
范文平,刘文华,聂时南,等.NIHSS评分对急性缺血性卒中患者大血管闭塞的预测价值[J].国际脑血管病杂志,2014, 22(11):842-847.
|
[10] |
王豪杰,陈炜,覃艳华,等.双相障碍患者的多巴胺转运受体基因多态性和静息态功能磁共振成像与脑奖赏环路的相关性研究[J].中国全科医学,2017,20(12):1439-1443.
|
[11] |
赵峰.双上肢缺失残疾人初级运动皮层功能重组fMRI研究[D].杭州:浙江大学,2010.
|
[12] |
任俊杰.中年首发重性抑郁症患者脑白质变化的MRI研究[D].天津:天津医科大学,2014.
|
[13] |
郜玉婷,毓青,姚晓娟,等.颞叶癫痫脑功能异常对抑郁障碍的影响[J].天津医科大学学报,2016,22(4):302-306.
|
[14] |
滕昌军,马辉,王纯,等.“临床治愈”抑郁症患者默认网络静息态功能连接研究[J].临床精神医学杂志,2016,26(3):155-158.
|
[15] |
李业宁,张爱霞,张克让,等.抑郁症患者大脑局部一致性静息态磁共振成像的meta分析[J].中华行为医学与脑科学杂志,2017,26(4):379-384.
|
|
|
|