CAJ | 학술논문

目的：探讨躯体感觉诱发电位（SSEP）对脑卒中预后的临床价值。方法选取2011-02-2013-02我院收治的脑卒中患者120例，作为脑卒中组。对所有患者进行 SSEP检测，根据检测结果将脑卒中组患者细分为 SSEP正常组、SSEP异常组和SSEP缺失组。患者入院时及入院第1、3、6、12月分别采用美国国立卫生研究所脑卒中量表（NIHSS）、简化Fugl-Mey-er运动功能评分法（FMA）、改良Barthel指数（MBI）及改良 Rankin量表（MRS）进行评分。同期选取30例健康体检者作为对照组。结果正中神经和胫神经 SSEP较健康对照组有显著差异，主要表现为正中神经 N20峰潜伏期和胫神经 P40峰潜伏期明显延长，波幅显著降低，差异有统计学意义（P＜0.05）。比较同时段 SSEP 正常组、SSEP 异常组、SSEP 缺失组患者的NIHSS评分、FMA评分、MBI评分及 MRS评分，SSEP正常组神经功能缺损最轻，运动功能最好，恢复情况最好；SSEP缺失组神经功能缺损最重，运动功能最差，恢复情况最差；SSEP异常组居中。结论躯体感觉诱发电位能有效预测脑卒中患者的预后，具有重要的临床价值。
목적：탐토구체감각유발전위（SSEP）대뇌졸중예후적림상개치。방법선취2011-02-2013-02아원수치적뇌졸중환자120례，작위뇌졸중조。대소유환자진행 SSEP검측，근거검측결과장뇌졸중조환자세분위 SSEP정상조、SSEP이상조화SSEP결실조。환자입원시급입원제1、3、6、12월분별채용미국국립위생연구소뇌졸중량표（NIHSS）、간화Fugl-Mey-er운동공능평분법（FMA）、개량Barthel지수（MBI）급개량 Rankin량표（MRS）진행평분。동기선취30례건강체검자작위대조조。결과정중신경화경신경 SSEP교건강대조조유현저차이，주요표현위정중신경 N20봉잠복기화경신경 P40봉잠복기명현연장，파폭현저강저，차이유통계학의의（P＜0.05）。비교동시단 SSEP 정상조、SSEP 이상조、SSEP 결실조환자적NIHSS평분、FMA평분、MBI평분급 MRS평분，SSEP정상조신경공능결손최경，운동공능최호，회복정황최호；SSEP결실조신경공능결손최중，운동공능최차，회복정황최차；SSEP이상조거중。결론구체감각유발전위능유효예측뇌졸중환자적예후，구유중요적림상개치。
Objective To discuss the clinical value of somatosensory evoked potential in the prognosis of stroke.Methods 120 stroke patients from February 2011 to February 2013 in our hospital were selected as stroke group.According to the result of SSEPs,the patients were stratified into groups with absent,abnormal and normal responses.Clinical state was determined according to the NIH stroke scale (NIHSS),the modified Barthel index(MBI)the Fugl-Meyer assessment(FMA)and the modified Rankin scale(MRS).During the same period,30 cases of people for healthy physical examination were selected as the control group.Results There was remarkable difference in median nerve and tibial nerve SSEP between stroke group and con-trol group (P<0.05),the main performance was longer incubation period and decrease of amplitude of median nerve N20 and tibial P40.According to the results of clinical state evaluation,the SSEP normal group had the best neurological function,mo-tor function and recovery;SSEP absent group were the worst in all indexes.Conclusion SSEP can effectively predict the prog-nosis of stroke patients.It has important clinical value.