CAJ | 학술논문

目的研究急性脑梗死患者脑干听觉诱发电位(brain stem auditory evoked potential,BAEP)和体感诱发电位(somatosensory evoked potential,SEP)的改变及其临床意义,并对患者的预后进行评价.方法选择60例急性脑梗死患者作为脑梗死组,连续检测并记录每例患者BAEP和SEP的改变情况.同时按GCS评分评价患者的预后情况.按照年龄和性别配对选择60例健康人作为对照.结果脑梗死组BAEP Ⅰ波潜伏期与对照组差异无统计学意义(P＞0.05),但其他波及峰间期与对照组比较差异有统计学意义(P＜0.05).脑梗死组SEP表现为P14～N60各波均明显延长(P＜0.05).结论 BAEP和SEP能较好地反映患者脑干的功能状态,对急性脑梗死患者的预后评价具有一定的意义.
목적 연구급성뇌경사환자뇌간은각유발전위(brain stem auditory evoked potential,BAEP)화체감유발전위(somatosensory evoked potential,SEP)적개변급기림상의의,병대환자적예후진행평개.방법 선택60례급성뇌경사환자작위뇌경사조,련속검측병기록매례환자BAEP화SEP적개변정황.동시안GCS평분평개환자적예후정황.안조년령화성별배대선택60례건강인작위대조.결과 뇌경사조BAEP Ⅰ파잠복기여대조조차이무통계학의의(P＞0.05),단기타파급봉간기여대조조비교차이유통계학의의(P＜0.05).뇌경사조SEP표현위P14～N60각파균명현연장(P＜0.05).결론 BAEP화SEP능교호지반영환자뇌간적공능상태,대급성뇌경사환자적예후평개구유일정적의의.
Objective To investigate changes of brainstem auditory evoked potential (BAEP)and somatosensory evoked potential (SEP) in patients with acute cerebral infarction,and discuss their relation with prognosis of the patients.Methods The study involved 60 patients with acute cerebral infarction.Changes of BAEP and SEP in each patient were detected and recorded continuously.Prognosis evaluation was performed by using GCS.Another 60 age-matched and gender-matched healthy human beings were enrolled as controls.Results Incubation period of BAEP wave Ⅰ had no significant difference between the cerebral infarction and control groups (P ＞ 0.05).However,interspike intervals of other BAEP waves in cerebral infarction group were different from those in control group (P ＜ 0.05).A series of waves of SEP (P14-N60) were all significantly prolonged in cerebral infarction group (P ＜0.05).Conclusion BAEP and SEP can effectively reflect function of brain stem in patients with acute cerebral infarction and have some values in determining their prognosis.