额叶癫痫发作运动轨迹及癫痫的体质学调查

发布时间：2018-01-26 21:03

本文关键词： 癫痫运动性发作运动轨迹体质　出处：《成都中医药大学》2014年硕士论文　论文类型：学位论文

【摘要】：本研究分两部分,第一部分：额叶癫痫发作三维轨迹；第二部分：癫痫体质学调查。第一部分：目的：建立额叶癫痫辅区发作的三维运动轨迹模型。方法：纳入额叶癫痫中运动辅区发作的三种发作类型(击剑姿势、运动过度、姿势性强直)的发作期视频,使用图像分析软件将所收集癫痫几种发作形式的图像信号转换为矩阵。使用Origin数值处理软件绘制时间三维轨迹图。使用MATLAB数学软件得到三种发作类型的上肢各标记点坐标值的比值,绘制成二维曲线。二维曲线的上升或下降的变化代表两种发作类型同一标记点相同方向的坐标变化幅度。从所绘制的三维运动轨迹图中,我们可以看到各标记点水平方向上的运动方向、幅度。结果：1)运动过多发作患者各标记点均有不规律、大幅度往返运动,近心端以外展、外旋等向外运动为主,远心端则以屈曲向内方向运动为主；2)击剑姿势及姿势性强直发作的运动轨迹相似,均为受累肢体缓慢均匀地上升、下降,不过击剑姿势头面、躯干的活动幅度很小,受累肢体以纵向及垂直方向上活动为主；姿势性强直头面、躯干以横向运动为主,受累上肢以横向、纵向运动为主,受累下肢则以纵向及垂直方向活动为主。3)击剑姿势与姿势性强直X轴、Y轴上幅度变化均有不同程度差异,远端差异大于近端。4)运动过多与击剑姿势X轴上以右上肢及左手幅度变化差异大,Y轴上以双手幅度变化差异大。5)运动过多与姿势性强直X轴以右上肢及左手的幅度变化差异大,Y轴上双手幅度变化差异大。结论：1)癫痫的三维轨迹模型建立具有可行性；2)三维轨迹模型及其量化分析对癫痫的诊断及鉴别诊断有一定意义。第二部分：目的：1)探讨癫痫与体质的关系；2)指导不同体质癫痫患者的治疗。方法：本实验采用临床调查的研究方法,依据北京中医药大学王琦教授《9种基本中医体质类型的分析及其诊断表述依据》的体质分类标准,对2013年10月至2013年12月在华西医院神经内科脑电图中心的癫痫全面强直阵挛发作患者进行体质调查。结果：癫痫患者体质以痰湿质、气虚质最多,湿热质、血瘀质次之,阳虚质未见。
[Abstract]:This study is divided into two parts, the first part: the frontal lobe seizure three-dimensional track, the second part: epilepsy physique investigation. Part I: objective: to establish a three-dimensional motion trajectory model of frontal lobe epilepsy. Methods: three types of paroxysmal seizures (fencing posture, excessive movement) were included in frontal lobe epilepsy. Pose ankylosis). Image analysis software is used to convert the collected image signals of several kinds of epileptic seizures into matrices. Origin numerical processing software is used to draw time three dimensional trajectory map. MATLAB mathematical software is used to get three kinds of images. The ratio of the coordinate values of each marker point in the upper limb of the type of attack. 2-D curve. The rise or fall of the two-dimensional curve represents the range of coordinate changes in the same direction between the two attack types, the same mark point, and the same direction. We can see the direction and amplitude of movement in the horizontal direction of each marker point. The external rotation is isotropic and the distal end is buckling inward. 2) the movement track of fencing posture and postural ankylosis is similar, both the affected limbs rise and decrease slowly and uniformly, but the fencing posture head face, the torso movement range is very small. The involved limbs were mainly active in the longitudinal and vertical direction. Posture ankylosis head, trunk with transverse movement, affected upper limb with transverse and longitudinal movement, affected lower extremities with longitudinal and vertical movement. 3) fencing posture and posture ankylosis X axis. There were significant differences in the amplitude of Y axis and the amplitude of right upper limb and left hand in the X axis of fencing posture, the difference of distal difference was greater than that of proximal end. 4) there were significant differences in the amplitude of right upper limb and left hand in the X axis of fencing posture. Y axis with a great difference in the amplitude of the two hands. 5) too much movement and posture ankylosis X axis in the right upper limb and left hand amplitude changes in great difference. There is a great difference in amplitude between hands on Y axis. Conclusion it is feasible to establish three-dimensional trajectory model of epilepsy. 2) the three-dimensional trajectory model and its quantitative analysis are of significance for the diagnosis and differential diagnosis of epilepsy. Part II: objective 1) to explore the relationship between epilepsy and constitution; 2) to guide the treatment of epilepsy patients with different physique. Methods: the clinical investigation method was used in this experiment. According to Beijing University of Chinese Medicine Professor Wang Qi < 9 basic TCM physique type analysis and diagnosis expression basis > the constitution classification standard. From October 2013 to December 2013, we investigated the physique of patients with generalized tonic-clonic seizure in EEG center of Department of Neurology, West China Hospital. Results: the physique of epilepsy patients was phlegm dampness. Qi deficiency is the most, dampness and heat is the most, blood stasis is the second, yang deficiency is not seen.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R742.1

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