Study on the attentional damage of Wilson's disease patients by attentional network test
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摘要: 目的 研究肝豆状核变性患者注意网络受损情况。 方法 选择2016年6月—2019年6月在安徽中医药大学第一附属医院住院的30例肝豆状核变性患者及与之性别、年龄、受教育年限相匹配的30例健康对照,应用注意网络测试分别检查肝豆状核变性组及健康对照组的警觉网络效率值、定向网络效率值、执行控制网络效率值、正确率及总平均反应时。 结果 肝豆状核变性组警觉网络效率值为(21.53±8.98)ms、定向网络效率值为(30.50±10.11)ms、执行控制网络效率值为(104.03±18.96)ms、总平均反应时为(601.63±75.96)ms、总正确率为(97.43±2.57)%,健康对照组警觉网络效率值为(37.17±10.70)ms、定向网络效率值为(32.57±9.58)ms、执行控制网络效率值为(101.43±16.14)ms、总平均反应时为(540.03±49.54)ms、总正确率为(98.07±1.57)%。肝豆状核变性组警觉网络效率值低于健康对照组,差异具有统计学意义(P<0.05),肝豆状核变性组总平均反应时长于健康对照组,差异有统计学意义(P<0.05),肝豆状核变性组与健康对照组的定向及执行控制网络效率值、正确率差异无统计学意义(均P>0.05)。 结论 肝豆状核变性患者有注意网络功能障碍。主要表现在警觉网络受损,定向网络及执行控制网络无明显异常。Abstract: Objective To explore the attentional damage of patients with Wilson's disease (WD) by attentional network test. Methods Thirty patients with WD admitted to the First Affiliated Hospital of Anhui University of Chinese Medicine from June 2016 to June 2019 were selected to perform the attentional network test, as well as 30 gender, age, and education-matched healthy controls. The alert network efficiency, the directional network efficiency, the executive control network efficiency, the total average reaction time and the total accuracy were compared by the attentional network test. Results In WD group, the alert network efficiency, the directional network efficiency, the executive control network efficiency, the total average reaction time and the total accuracy were (21.53±8.98) ms, (30.50±10.11) ms, (104.03±18.96) ms, (601.63±75.96) ms and (97.43±2.57)%, respectively. Meanwhile, in control group, the alert network efficiency, the directional network efficiency, the executive control network efficiency, the total average reaction time and the total accuracy were (37.17±10.70) ms, (32.57±9.58) ms, (101.43±16.14) ms, (540.03±49.54) ms and (98.07±1.57)%, respectively. The alerting network efficiency of WD group was lower than that of control group (P<0.05), but the total average reaction time of WD group was longer than that of healthy control group (P<0.05). There was no significant difference in the directional network efficiency, the executive control network efficiency and the total accuracy between two groups (all P>0.05). Conclusion WD patients have attention network dysfunction, and the main performance is that the alert network is damaged, the directional network and the executive control network are normal.
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Key words:
- Wilson's disease /
- Attention network /
- Cognition
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