CAJ | 학술논문

目的评价脑性瘫痪(简称脑瘫)患儿脑损害程度的敏感客观指标,为脑瘫诊断早期全面评价大脑损害程度,制定全面干预方案、判断预后提供客观指标.方法对 62例临床确诊的脑瘫患儿同期( 1周内)做 CT、体感诱发电位( SEP)检查.相同方案治疗 3疗程后, 35例患儿复查相同检查.结果 CT检查阳性率 60%, SEP阳性率 94%,χ 2=16, P< 0.005;治疗 3疗程后 35例复查 CT、 SEP的患儿, 2例 CT稍有改变, 25例 SEP潜伏期、波形有较明显改善.(χ 2=29.18, P< 0.005).结论 SEP评价脑瘫患儿脑损伤较 CT敏感性高,从潜伏期、波幅等方面较易定量,可根据治疗前后变化,作为评价治疗效果的客观指标.
목적평개뇌성탄탄(간칭뇌탄)환인뇌손해정도적민감객관지표,위뇌탄진단조기전면평개대뇌손해정도,제정전면간예방안、판단예후제공객관지표.방법대 62례림상학진적뇌탄환인동기( 1주내)주 CT、체감유발전위( SEP)검사.상동방안치료 3료정후, 35례환인복사상동검사.결과 CT검사양성솔 60%, SEP양성솔 94%,χ 2=16, P< 0.005;치료 3료정후 35례복사 CT、 SEP적환인, 2례 CT초유개변, 25례 SEP잠복기、파형유교명현개선.(χ 2=29.18, P< 0.005).결론 SEP평개뇌탄환인뇌손상교 CT민감성고,종잠복기、파폭등방면교역정량,가근거치료전후변화,작위평개치료효과적객관지표.
Aim To explore a sensitive and objective method for evaluate the degree of brain lesions in children with cerebral palsy.Methods Sixty-two children with clinically definitive cerebral palsy, 38 males and 24 females, aged 6- 36months, including 47 cases of spasm palsy and 15 cases of chalasia palsy, were received computerized axial tomography(CT) scan and somatosensory evoked potential (SEP) examination simultaneously within a week since the disease was diagnosed. After 3 courses of treatment, 35 suffered children received the same re-examinations.Results 60% of the children showed a positive result in CT scan, while SEP gives a positive result in 94% of the children.The SEP was significantly sensitive than that of CT scan(χ 2=16, P< 0.005). In the 35 children who received re-examination, only 2 displayed a subtle changes in CT scan, and in contrast, 25 cases showed a obvious improvement in the field of the latency and waveform of SEP (χ 2=29.18, P< 0.005).Conclusion SEP is more sensitive than CT scan in assessing the degree of brain lesion in children with cerebral palsy. With its parameters of latency and waveform, SEP provides a quantitative objective measurement for the changes before and after treatment.