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张朝辉,陈佐明,宋景贵.交感神经皮肤反应电位在躯体化障碍中的应用*[J].中国康复医学杂志,2008,23(6):515~517
交感神经皮肤反应电位在躯体化障碍中的应用*    点此下载全文
张朝辉  陈佐明  宋景贵
新乡医学院第二附属医院临床心理科,河南新乡, 453002
基金项目:新乡医学院科技计划项目资助:2007YJB-10
DOI:
摘要点击次数: 2455
全文下载次数: 1967
摘要:
      目的:探讨交感神经皮肤反应(SSR)电位在躯体化障碍中的应用。方法:用自编主诉不适症状量表对56例躯体化障碍患者进行访谈,并对这些患者和50名正常对照者进行SSR测定,将所得结果进行分析。结果:躯体化障碍组与正常对照组相比较,SSR波潜伏期延长和波幅降低,差异有显著性意义(P<0.05)。SSR潜伏期与消化系统、呼吸循环、皮肤、泌尿生殖系统症状的严重程度呈正相关;SSR波幅与神经系统症状的严重程度呈正相关,与病程、症状总数目以及呼吸循环系统、皮肤、泌尿生殖系统症状的严重程度呈负相关(P<0.05或P<0.01)。结论:SSR能较好地反映自主神经功能紊乱,可以作为躯体化障碍的一项客观电生理参考指标用于临床。
关键词:躯体化障碍  自主神经功能  交感神经皮肤反应
The application of sympathetic skin response in somatization disorder    Download Fulltext
The Second Affiliated Hospital of Xinxiang Medical College, Xinxiang, 453002
Fund Project:
Abstract:
      Objective: To study the application of sympathetic skin response(SSR) in somatization disorder. Method: Fifty-six somatization disorder patients were interviewed with self-designed symptoms scale assessment. Fifty normal controls were tested with SSR. The results were analyzed with t-test and correlation analysis. Result: ①Compared with normal controls, the latency and amplitude of SSR in patients with somatization disorder prolonged and descended respectively,the differences were significant(P<0.05). ②The latency of SSR was positively correlated with symptoms of alimentary system, respiratory and circulatory system, skin system, and genitourinary system. The amplitude of SSR was negatively correlated with course, the total symptoms number, symptoms of respiratory and circulatory system,skin system ,and genitourinary system, and was positively correlated with nervous system symptoms(P<0.05, P<0.01). Conclusion: SSR can better reflect autonomic nervous function, and can be used to diagnose somatization disorder in clinic as an objective electrophysiological index.
Keywords:somatization disorder  autonomic nervous function  sympathetic skin response
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