CAJ | 학술논문

目的：评价体感诱发电位（BAEP）、脑干听觉诱发电位（SEP）联合瞬目反射（BR）对脑干梗死预后评估中的作用。方法64例梗死患者，根据格拉斯哥Glasgow（GCS）评分，分为重症组（GCS≤8分）和非重症组（GCS>8分）。根据CANT分级标准将脑干BAEP及SEP分为I、II、III 3级，将BR分为正常者和异常者，分别比较重症组与非重组诱发电位的表现，并比较不同级别诱发电位与预后的关系。结果重症组死亡患者所占比例42.86%，明显高于非重症组的19.44%。BAEP、SEP表现为Ⅲ级者死亡率分别为57.69%、58.82%，明显高于I、II、III级患者；BR异常者死亡率48.38%，明显高于BR正常者。结论 BAEP、SEP、BR能评价脑干梗死患者的脑功能，并能预测预后。
목적：평개체감유발전위（BAEP）、뇌간은각유발전위（SEP）연합순목반사（BR）대뇌간경사예후평고중적작용。방법64례경사환자，근거격랍사가Glasgow（GCS）평분，분위중증조（GCS≤8분）화비중증조（GCS>8분）。근거CANT분급표준장뇌간BAEP급SEP분위I、II、III 3급，장BR분위정상자화이상자，분별비교중증조여비중조유발전위적표현，병비교불동급별유발전위여예후적관계。결과중증조사망환자소점비례42.86%，명현고우비중증조적19.44%。BAEP、SEP표현위Ⅲ급자사망솔분별위57.69%、58.82%，명현고우I、II、III급환자；BR이상자사망솔48.38%，명현고우BR정상자。결론 BAEP、SEP、BR능평개뇌간경사환자적뇌공능，병능예측예후。
Objective To estimate the function of somatosensory evoked potentials(SEP)、brainstem auditory evoked potentials(BAEP)and blink reflex(BR)in the evaluation of brain stem infarction. Method 64 cases of brain stem infarction were admitted to the hospital and divided into severe or moderate groups based on the GCS(≤or>8). The BAEP and SEP Results were divided into gradeⅠ,gradeⅡand gradeⅢaccording to CANT classification,the BR Results were divided into normality and abnormity. The performance of evoked potentials was compare between severe group and moderation group, and the different levels of evoked potentials and prognosis were also compared. Results (1)The mortality of the patients in the severe group was 42.68%,significantly higher than that in the group of moderate group(19.44%). A good proportion of moderate group was 36.11%,much better than those in the sever group(7.14%).(2)The mortality of the patients withⅢgrade SEP and BAEP was 57.69%and 58.82%,the mortality of the patients with abnormity BR was 48.34%,significantly higher than the proportion of good. The proportion of good with the I grade SEP and BAEP was 59.09% and 52.38%,the proportion of good with normality BR was 60.60%,much higher then the proportion of death. Conclusion SEP、BAEP and BR can objective ly evaluate brain function in patients with brain stem infarction,and can predict prognosis.