CAJ | 학술논문

目的：探讨脑干听觉诱发电位联合体感诱发电位评估昏迷患者脑功能状态可行性和准确性。方法选取我院2013年10月至2014年4月的昏迷患者30例，平均将其分成两组，对对照组进行GCS评分、脑干反射等临床评估，动态检测并观察患者预后，对实验组患者实行脑干听觉诱发电位（BAEP）和体感诱发电位（SEP）检查，探讨BAEP和SEP判断昏迷患者脑功能状态的可行性和准确性。结果实验组的准确率（93.33%）明显高于对照组（66.67%）的准确率，差异具有统计学意义（P＜0.05）。结论脑干听觉诱发电位联合体感诱发电位可以提高昏迷患者预后评估的准确性，在临床上实践中具有重要价值。
목적：탐토뇌간은각유발전위연합체감유발전위평고혼미환자뇌공능상태가행성화준학성。방법선취아원2013년10월지2014년4월적혼미환자30례，평균장기분성량조，대대조조진행GCS평분、뇌간반사등림상평고，동태검측병관찰환자예후，대실험조환자실행뇌간은각유발전위（BAEP）화체감유발전위（SEP）검사，탐토BAEP화SEP판단혼미환자뇌공능상태적가행성화준학성。결과실험조적준학솔（93.33%）명현고우대조조（66.67%）적준학솔，차이구유통계학의의（P＜0.05）。결론뇌간은각유발전위연합체감유발전위가이제고혼미환자예후평고적준학성，재림상상실천중구유중요개치。
Objective To study the feasibility and accuracy of applying brainstem auditory evoked potential (BAEP) combined with somatosensory evoked potential(SEP) in the prognosis of brain function for coma patients. Methods 30 coma patients in our hospital from October 2013 to April 2014 were selected and divided into 2 groups, the control group was given clinical assessment such as GCS score and brainstem reflection,so as to detect and observe the prognosis of patients dynamically;the experimental group was given BAEP and SEP for prognosis evaluation,then analyzed the feasibility and accuracy. Results The accuracy rate of experimental group (93.33%) was significantly higher than control group (66.67%), differences were statistically significant(P<0.05). Conclusion It can improve the accuracy that applying BAEP combined with SEP in the prognosis evaluation of coma patients, which has important values in clinical practice.