北京地区2357名健康人脑电图分析报告
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摘要
目的健康人群从新生儿到中老年的发育过程中的脑电图(EEG)变化在国外已有很多研究。但对中国健康人群的EEG研究较少。因此研究了2 357名健康人群的EEG。方法在冯应琨教授的带领下,于1982年分析了2 357名健康人群清醒时EEG,年龄为2～60岁及以上,包括睁闭眼和过度换气。结果在2～4岁头后部基本节律已达8～9 Hz,但为不规则节律。7岁以后为9 Hz节律,α指数>60%,波幅高于其他年龄。在12～14岁优势节律为10 Hz,与成人相似,α指数70%～80%。此后α节律的波幅逐渐下降。60岁及以上优势节律为9 Hz,α指数<60%,波幅低于成年人。在14～16岁额颞区θ指数为6%,与成年人一致。在18～20岁β指数为20%。结论该多中心研究分析了北京地区2 357名健康中国人群的清醒状态下EEG,虽然该研究完成于20世纪80年代,但对现在的临床EEG诊断治疗仍有较大参考价值。
Objective Numerous foreign researches focused on the changes of EEG during the developmental periods from the newborn to late adulthood.However,the EEG changes of healthy Chinese people is still rare.Therefore,we examined the EEG of 2 357 healthy Chinese people.Methods In 1982,guided by Prof.Feng,we analysed the waking EEG of 2 357 healthy people,from 2 to above 60 years old,including open eyes induction test and hyperventilation.Results At age 2～4,the posterior basic rhythms has reached 8～9 Hz,but the rhythms were unregular pattern.After age 7,the rhythms were 9 Hz,a index was more than 60%,the amplitude was higher than other ages.At age 12～14,the main rhythms was 10 Hz,the same as adulthood,a index was 70%～80%.After this age,the amplitude of a rhythm deceased gradually.Above 60 years old,the main rhythm was 9 Hz,a index <60%,the amplitude was lower than adulthood.At age 14～16,the 0 index in frontal and temporal regions was 6%,the same as the adulthood.At age 18～20,β index was 20%.Conclusions In the article,we analyzed the waking EEG of 2 357 healthy Chinese people in Beijing area.Although this multi-center study was accomplished at 1980 s,the data is still of great value to the clinical EEG today.
Objective Numerous foreign researches focused on the changes of EEG during the developmental periods from the newborn to late adulthood.However,the EEG changes of healthy Chinese people is still rare.Therefore,we examined the EEG of 2 357 healthy Chinese people.Methods In 1982,guided by Prof.Feng,we analysed the waking EEG of 2 357 healthy people,from 2 to above 60 years old,including open eyes induction test and hyperventilation.Results At age 2～4,the posterior basic rhythms has reached 8～9 Hz,but the rhythms were unregular pattern.After age 7,the rhythms were 9 Hz,a index was more than 60%,the amplitude was higher than other ages.At age 12～14,the main rhythms was 10 Hz,the same as adulthood,a index was 70%～80%.After this age,the amplitude of a rhythm deceased gradually.Above 60 years old,the main rhythm was 9 Hz,a index <60%,the amplitude was lower than adulthood.At age 14～16,the 0 index in frontal and temporal regions was 6%,the same as the adulthood.At age 18～20,β index was 20%.Conclusions In the article,we analyzed the waking EEG of 2 357 healthy Chinese people in Beijing area.Although this multi-center study was accomplished at 1980 s,the data is still of great value to the clinical EEG today.
引文
1 Klass DW,Daly DD.Current practice of clinical electroencephalography.Raven Press,1979,New York:71
2北京市脑电图学组.北京地区2357例健康人脑电图正常值.北京市脑电图学组论文集(第一集),1984:1-7.
3严承姬,金镇荧,吴逊,等.足月健康围产儿清醒脑电图初步分析.临床脑电学杂志,1998,7(2):67-69.
4 Wu X.EEG,Quantitative EEG,BAEP and ERP in centenarians.Clin Electroencephalgr,1993,24(3):127-137.
5 Wu X,Cao YS,Gao LG,et al. EEG characteritics of healthy adults living at higher elevations.Clin EEG,1992,23:52-57.
6 Wu X,Liu XQ.Study of the alpha frequency band of healthy adults in quantitative EEG.Clin EEG,1995,26:131-136.
7大熊辉雄著,周锦华译.脑电图判读step by step入门篇.北京:科学出版社,2001:153-156,193.
8 Gibbs FA,Gibbs EL.Atlas of Electroencephalographic(Vol1)Combridge,MA:Addison-Wesley,1950,USA.
9刘晓燕.临床脑电图学(第2版).北京:人民卫生出版社,2017:119-122.
10黄远桂,吴声伶.临床脑电图学(第1版).西安:陕西科学技术出版社,1984,104.
11大熊辉雄著,周锦华译.临床脑电图学(第5版).北京:清华大学出版社,2005:84.
12 Niedermeyer E,Silva FL.Electroencephalography,basi principlees,clinical applications,and related fields.Lipincott Williams&wilkins 4th-edition.1998,USA,1998:189-2 11,149-151.
13 Blume WT.Altas of pediatric electroncephalography,1st-edition.Rraven Press,New York,USA,1982:1.
14 Tyner FS,Knott JR,Brem WM.Fundamentals of EEG technology(Vol 1)Basic concepts and methods.Raven Press,New York,USA,1983:241.
15冯应琨.临床脑电图学(第1版).北京:人民卫生出版社,1980:58-59.
16 Henry H.Electroencephalograms of normal children.Monogr.Soc.Res child Dev.National Research council,Washington DC,USA,1994:77.
17 Brazier MAB,Finesinger JE.Characteristics of the normal electroencephalogram:a study of the occipital cortical potentials in500 normal adults.J Clin Invest,1994,4:201-211.
2北京市脑电图学组.北京地区2357例健康人脑电图正常值.北京市脑电图学组论文集(第一集),1984:1-7.
3严承姬,金镇荧,吴逊,等.足月健康围产儿清醒脑电图初步分析.临床脑电学杂志,1998,7(2):67-69.
4 Wu X.EEG,Quantitative EEG,BAEP and ERP in centenarians.Clin Electroencephalgr,1993,24(3):127-137.
5 Wu X,Cao YS,Gao LG,et al. EEG characteritics of healthy adults living at higher elevations.Clin EEG,1992,23:52-57.
6 Wu X,Liu XQ.Study of the alpha frequency band of healthy adults in quantitative EEG.Clin EEG,1995,26:131-136.
7大熊辉雄著,周锦华译.脑电图判读step by step入门篇.北京:科学出版社,2001:153-156,193.
8 Gibbs FA,Gibbs EL.Atlas of Electroencephalographic(Vol1)Combridge,MA:Addison-Wesley,1950,USA.
9刘晓燕.临床脑电图学(第2版).北京:人民卫生出版社,2017:119-122.
10黄远桂,吴声伶.临床脑电图学(第1版).西安:陕西科学技术出版社,1984,104.
11大熊辉雄著,周锦华译.临床脑电图学(第5版).北京:清华大学出版社,2005:84.
12 Niedermeyer E,Silva FL.Electroencephalography,basi principlees,clinical applications,and related fields.Lipincott Williams&wilkins 4th-edition.1998,USA,1998:189-2 11,149-151.
13 Blume WT.Altas of pediatric electroncephalography,1st-edition.Rraven Press,New York,USA,1982:1.
14 Tyner FS,Knott JR,Brem WM.Fundamentals of EEG technology(Vol 1)Basic concepts and methods.Raven Press,New York,USA,1983:241.
15冯应琨.临床脑电图学(第1版).北京:人民卫生出版社,1980:58-59.
16 Henry H.Electroencephalograms of normal children.Monogr.Soc.Res child Dev.National Research council,Washington DC,USA,1994:77.
17 Brazier MAB,Finesinger JE.Characteristics of the normal electroencephalogram:a study of the occipital cortical potentials in500 normal adults.J Clin Invest,1994,4:201-211.