基础医学与临床 ›› 2019, Vol. 39 ›› Issue (9): 1234-1238.

• 研究论文 • 上一篇    下一篇

视网膜色素变性损害患者外周视野的空间信息加工能力

王苑颖,朱素芳,王磊峰,耿梦文,张智涵,李俊发,罗艳琳   

  1. 首都医科大学
  • 收稿日期:2018-08-15 修回日期:2018-12-06 出版日期:2019-09-05 发布日期:2019-09-06
  • 通讯作者: 罗艳琳 E-mail:luoyl@ccmu.edu.cn
  • 基金资助:
    国家自然科学基金项目;首都医科大学本科生科研创新项目

Retinal pigmentosa impairs spatial information processing of patient's peripheral visual field

  • Received:2018-08-15 Revised:2018-12-06 Online:2019-09-05 Published:2019-09-06

摘要: 目的 利用扩散模型探究视网膜色素变性(RP)对外周和中心视野的空间信息加工能力的影响。方法 采用空间认知实验对19例RP患者 (男12例,女7例)和13名健康对照(男9名,女4名)在不同空间范围上的认知功能进行评估。记录受试者的反应时和正确率,并进行扩散模型参数计算。结果 RP组在大图形(1 193±106)ms和中图形(1 059±84)ms组试次中的反应时较对照组[大:(768±65)ms;中:(736±56)ms]明显增高(大:P<0.01;中:P<0.01)。扩散模型结果显示,RP患者在大图形组的漂移速率(v)(0.20±0.02)cv较正常对照(0.27±0.03)cv下降(P<0.05);在大(540±44)ms、中(556±37)ms、小(516±47)ms试次中非决策时间(Ter)均较对照组[大:(286±59)ms;中:(58±31)ms;小:(211±64)ms]延长(大:P<0.001;中:P<0.01;小:P<0.001)。结论 RP患者在外周视野的空间认知损伤更加明显,可能与其存在的特征性的外周视野的缺损有关;扩散模型提示信息编码和信息加工速率的下降可能是造成空间认知缺陷的重要因素。

关键词: 视网膜色素变性, 扩散模型, 外周视野, 中心视野, 信息加工

Abstract: Objective To investigate the spatial processing in patients with retinal pigmentosa (RP) in the central and peripheral visual fields by diffusion model analysis. Methods A total of 19 RP patients and 13 healthy controls were recruited in this study. The spatial processing task was aimed to evaluate the spatial processing in the peripheral and central visual fields with various field sizes. Reaction times (RTs), accuracies (ACCs) were recorded. In addition, the EZ-diffusion model analysis was performed for possible underlying mechanism. Results Compared with the control group [for large: (768±65) ms; for medium: (736±56) ms], RP group reacted slower in peripheral visual field including large (1193±106) ms and medium (1059±84) ms stimulus (for large: P<0.01; for medium: P<0.01). The diffusion model showed that smaller v (drift rate) (0.20±0.02) cv in large stimulus than control group (0.27±0.03) cv (P<0.05); and for large (540±44) ms, medium (556±37) ms, small (516±47) ms stimulus, the Ter (nondecision time) was found longer (for large: P<0.001, for medium: P<0.01, for small: P<0.001) than control group [for large: (286±59) ms, for medium: (358±31) ms, for small: (211±64) ms]. Conclusions RP exerts a visual field loss-related impairment in spatial cognition mainly in the peripheral visual field, which might be attributable to the decrease in information processing speed and increase in information encoding time.

Key words: Retinal pigmentosa, Diffusion model, Peripheral visual field, Central visual field, Information processing

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