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研究生:陳怡攸
研究生(外文):Chen, Yi-Yu
論文名稱:巴金森氏症之反跳視眼球運動研究
論文名稱(外文):Antisaccade in Parkinson's Disease
指導教授:陳天送, 蔡子同
指導教授(外文):T. S. Chen, T. T. Tsai
學位類別:碩士
校院名稱:國立成功大學
系所名稱:醫學工程學系
學門:工程學門
學類:綜合工程學類
論文種類:學術論文
論文出版年:1997
畢業學年度:86
語文別:中文
論文頁數:63
中文關鍵詞:巴金森氏症反跳視眼球運動延遲時間錯誤率峰值速度曲斜率
外文關鍵詞:Parkinson's diseaseAntisaccadeLatencyError ratePeak velocitySkewness
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巴金森氏症是一退化性之神經系統疾病,病人有顫抖、僵硬、動作遲
緩及身體平衡不穩等症狀。除了這些肢體及軀幹的症狀,巴金森病人的跳
視眼球運動亦不正常。 最近有許多的報告在研究基底核對眼球運動的
影響,尤其是跳視眼球運動。跳視是指眼球快速改變視線的一種眼球運動
,可以分為意志性、反射性及自發性三種反應。意志性跳視是由內在意志
引發,將視線移至一實際或假想性的目標;反射性跳視是由周邊視野中突
然出現的外在刺激所引發,自發性跳視是由內在意志引發,但並不需要目
標物來激發,研究顯示基底核有助於意志性跳視之引發,但對反射性跳視
則有抑制的作用。「反跳視試驗」可同時測試意志性跳視之引發及反射性
跳視之抑制:當一刺激亮點出現於周邊視野時,受試者須立即將視線移至
刺激亮點之相反位置。若受試者將視線移至刺激亮點之位置(而非亮點之
相反位置),則視為錯誤反應。 過去對巴金森病人反跳視試驗之研究
,有不太一致的結果:有結果指出與正常人無異,但亦有結果顯示錯誤反
應增加。本研究以10位病人及10位年齡相符的正常人為對象,主要在探討
延遲時間,錯誤率,峰值速度等參數,同時我們引用曲斜率來做為巴金森
氏症評估的參數。本研究顯示巴金森病人具有較長的延遲時間,較高錯誤
率及較高的曲斜率。這結果透露反跳視眼球運動的傳輸路徑會受到巴金森
氏症的影響。

Parkinson*s disease (PD) is degenerative neurological
disorder characterized by tremor,rigidity and bradykinesia.In
addition to somatomotor symptoms , there are also
abnormalities in saccadic eye movements. In the influenceof
research has show much interest in studying disorders of the
basal ganglia in eye movements, particularly saccadic eye
movements.Saccade eye movement enables us torapidly change our
line of sight. There are three types ofsaccades: volitional,
reflexive and Spontaneous. Volitionalsaccades are internally
triggered with a goal. Reflexive saccades are externally
triggered by a sudden appearance of a visual target on the
peripheral retina. Spontaneous saccades are internally
triggered, but without a goal. The basal ganglia appear to
facilitate the initiation ofvoluntary saccades and prevent
reflexive saccades to stimuli. The antisaccade paradigm can
be used to test simultaneously the generation of volitional
saccades andthe suppression of reflex ones. The subjects
were in-structed to look at a point in screen which was at
thesame distance from fixation as the target light,but
inexactly the opposite direction. When the subject
makessaccades toward the target, these inappropriate
saccadesare judged as errors. The previous studies of
antisaccades in PD showed some inconsistent results. Some
reported no difference betweenthe patients and the controls.
However, others reportedthat the latencies and the error
rates were significantincreased in PD patients. In this study,
antisaccade wasstudied in ten patients with mild to moderate
Parkinson'sdisease and ten age-matched normal controls.
Antisaccadewas indistinguishable in latency,error rate, peak
velocity.At the same time, we used skewness as an assessment
ofParkinson's disease.This study shows the PD's patients
hasprolonged latency, higher error rate and higher skewness.
This finding implies that antisaccades are mediated
throughpathways which are affected by Parkinson's disease.

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