中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
19期
78-81
,共4页
张开宇%梁守礼%张亚杰%朱认真%盛彦勤
張開宇%樑守禮%張亞傑%硃認真%盛彥勤
장개우%량수례%장아걸%주인진%성언근
后循环缺血%脑干听觉诱发电位%峰间潜伏期%潜伏期
後循環缺血%腦榦聽覺誘髮電位%峰間潛伏期%潛伏期
후순배결혈%뇌간은각유발전위%봉간잠복기%잠복기
Posterior circulation ischemia%Brainstem auditory evoked potentials%Inter-wave potential latency%Poten-tial latency
目的：探讨脑干听觉诱发电位(BAEP)检查在后循环缺血(PCI)患者中的应用价值。方法回顾分析驻马店市中心医院脑电图室2008~2012年PCI患者96例(PCI组)的BAEP检查结果,并与同期80例健康对照组进行对比。结果 PCI组患者I、Ⅲ、吁波的平均潜伏期(PL)分别为(1.80±0.22)、(3.92±0.29)、(6.12±0.26)ms,I~Ⅲ和Ⅲ~吁波平均峰间潜伏期(IPL)分别为(2.16±0.39)ms和(2.23±0.21)ms；健康对照组I、Ⅲ、吁波平均PL分别为(1.75±0.20)、(3.79±0.25)、(5.98±0.23)ms,I~Ⅲ和Ⅲ~吁波平均IPL分别为(2.19±0.30)ms和(1.67±0.19)ms。 PCI组患者Ⅲ、吁波PL和Ⅲ~吁波IPL长于健康对照组,差异有统计学意义(P<0.05)。 PCI组Ⅲ、吁波PL和Ⅲ~吁波IPL大于健康对照组2.5个标准差；PCI组患者中,BAEP异常84例,异常率为87.5%,主要异常表现为Ⅲ、吁波PL和Ⅲ~吁波IPL延长,(Ⅲ~吁)/(I~Ⅲ)的IPL比值>1,表现以脑干型为主(45/96,46.8%),高于内耳型(20/96,20.8%)和混合型(31/96,32.2%)。结论 BAEP检查能灵敏地检测出PCI患者的神经电生理异常,可对PCI的诊断提供重要的参考。
目的：探討腦榦聽覺誘髮電位(BAEP)檢查在後循環缺血(PCI)患者中的應用價值。方法迴顧分析駐馬店市中心醫院腦電圖室2008~2012年PCI患者96例(PCI組)的BAEP檢查結果,併與同期80例健康對照組進行對比。結果 PCI組患者I、Ⅲ、籲波的平均潛伏期(PL)分彆為(1.80±0.22)、(3.92±0.29)、(6.12±0.26)ms,I~Ⅲ和Ⅲ~籲波平均峰間潛伏期(IPL)分彆為(2.16±0.39)ms和(2.23±0.21)ms；健康對照組I、Ⅲ、籲波平均PL分彆為(1.75±0.20)、(3.79±0.25)、(5.98±0.23)ms,I~Ⅲ和Ⅲ~籲波平均IPL分彆為(2.19±0.30)ms和(1.67±0.19)ms。 PCI組患者Ⅲ、籲波PL和Ⅲ~籲波IPL長于健康對照組,差異有統計學意義(P<0.05)。 PCI組Ⅲ、籲波PL和Ⅲ~籲波IPL大于健康對照組2.5箇標準差；PCI組患者中,BAEP異常84例,異常率為87.5%,主要異常錶現為Ⅲ、籲波PL和Ⅲ~籲波IPL延長,(Ⅲ~籲)/(I~Ⅲ)的IPL比值>1,錶現以腦榦型為主(45/96,46.8%),高于內耳型(20/96,20.8%)和混閤型(31/96,32.2%)。結論 BAEP檢查能靈敏地檢測齣PCI患者的神經電生理異常,可對PCI的診斷提供重要的參攷。
목적：탐토뇌간은각유발전위(BAEP)검사재후순배결혈(PCI)환자중적응용개치。방법회고분석주마점시중심의원뇌전도실2008~2012년PCI환자96례(PCI조)적BAEP검사결과,병여동기80례건강대조조진행대비。결과 PCI조환자I、Ⅲ、우파적평균잠복기(PL)분별위(1.80±0.22)、(3.92±0.29)、(6.12±0.26)ms,I~Ⅲ화Ⅲ~우파평균봉간잠복기(IPL)분별위(2.16±0.39)ms화(2.23±0.21)ms；건강대조조I、Ⅲ、우파평균PL분별위(1.75±0.20)、(3.79±0.25)、(5.98±0.23)ms,I~Ⅲ화Ⅲ~우파평균IPL분별위(2.19±0.30)ms화(1.67±0.19)ms。 PCI조환자Ⅲ、우파PL화Ⅲ~우파IPL장우건강대조조,차이유통계학의의(P<0.05)。 PCI조Ⅲ、우파PL화Ⅲ~우파IPL대우건강대조조2.5개표준차；PCI조환자중,BAEP이상84례,이상솔위87.5%,주요이상표현위Ⅲ、우파PL화Ⅲ~우파IPL연장,(Ⅲ~우)/(I~Ⅲ)적IPL비치>1,표현이뇌간형위주(45/96,46.8%),고우내이형(20/96,20.8%)화혼합형(31/96,32.2%)。결론 BAEP검사능령민지검측출PCI환자적신경전생리이상,가대PCI적진단제공중요적삼고。
Objective To explore the application value of the brainstem auditory evoked potential (BAEP) in diagnosing posterior circulation ischemia (PCI). Methods BAEP resunlts in 96 PCI patients (PCI group) and 80 normal cases (health control group) were analyzed in Department of Electromyography Laboratory, Zhumadian Central Hospital be-tween 2008 and 2012. Results The PL of Ⅰ, Ⅲ, Ⅴ wave in PCI group were (1.80±0.22), (3.92±0.29), (6.12±0.26) ms respectively, the IPL of Ⅰ-Ⅲ and Ⅲ-Ⅴ wave in PCI group were (2.16±0.39) ms and (2.23±0.21) ms respectively. The PL of Ⅰ, Ⅲ, Ⅴ wave in health control group were (1.75±0.20), (3.79±0.25), (5.98±0.23) ms respectively, the IPL ofⅠ-Ⅲ andⅢ-Ⅴ wave in health control group were (2.19±0.30) ms and (1.67±0.19) ms respectively. The PL of Ⅲ,Ⅴ wave and IPL of Ⅲ-Ⅴ wave in PCI group were all longer than those in health control group, the differences were statistically significant (P< 0.05). The PL of Ⅲ, Ⅴ wave and IPL of Ⅲ-Ⅴ wave in PCI group were all 2.5 times longer than those in health control group; 84 cases of abnormity were found in PCI group, the abnormal rate was 87.5%; the main abnormal performance were the extension of PL of Ⅲ, Ⅴ wave and IPL of Ⅲ-Ⅴ wave, the IPL rate of (Ⅲ-Ⅴ)/(Ⅰ-Ⅲ)>1;the brainstem type was the main performance (45/96, 46.8%), it was higher than the inner ear type (20/96, 20.8%) and mixed type (31/96, 32.2%). Conclusion BAEP can detect the nerve electrophysiological abnor-malities in PCI sensitively, and this method can provide important reference for PCI diagnosis.
