实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
PRACTICAL JOURNAL OF CARDIAC CEREBRAL PNEUMAL AND VASCULAR DISEASE
2014年
11期
26-27,28
,共3页
庾建英%刘继新%朱沂%李建新%李春丽
庾建英%劉繼新%硃沂%李建新%李春麗
유건영%류계신%주기%리건신%리춘려
脑缺血发作,短暂性%脑干梗死%诱发电位,听觉,脑干%椎底动脉供血不足%后循环
腦缺血髮作,短暫性%腦榦梗死%誘髮電位,聽覺,腦榦%椎底動脈供血不足%後循環
뇌결혈발작,단잠성%뇌간경사%유발전위,은각,뇌간%추저동맥공혈불족%후순배
Ischemic attack,transient%Brain stem infarction%Evoked potentials,auditory,brain stem%Verte-brobasilar insufficiency%Posterior circulation
目的：观察后循环短暂性脑缺血发作（ TIA）和后循环脑干梗死患者脑干听觉诱发电位（ BAEP）变化，探讨其临床意义。方法选择我院2011年7月—2013年12月收治的后循环TIA患者38例（后循环TIA组）和后循环脑干梗死患者46例（后循环脑干梗死组），均在发病后24 h内、24 h、1周进行BAEP检查，比较两组患者Ⅰ、Ⅲ、Ⅴ波潜伏期和Ⅰ～Ⅲ、Ⅲ～Ⅴ、Ⅰ～Ⅴ波峰间潜伏期。结果两组患者发病后24 h内、24 h、1周Ⅰ波潜伏期和Ⅰ～Ⅲ波峰间潜伏期比较，差异均无统计学意义（ P＞0.05）；后循环脑干梗死组患者发病后24 h内、24 h、1周Ⅲ、Ⅴ波潜伏期和Ⅲ～Ⅴ、Ⅰ～Ⅴ波峰间潜伏期均长于后循环TIA组（ P＜0.05）。结论后循环脑干梗死患者Ⅲ、Ⅴ波潜伏期和Ⅲ～Ⅴ、Ⅰ～Ⅴ波峰间潜伏期变化较后循环TIA患者明显， BAEP检查对后循环TIA和后循环脑干梗死具有一定的鉴别诊断价值。
目的：觀察後循環短暫性腦缺血髮作（ TIA）和後循環腦榦梗死患者腦榦聽覺誘髮電位（ BAEP）變化，探討其臨床意義。方法選擇我院2011年7月—2013年12月收治的後循環TIA患者38例（後循環TIA組）和後循環腦榦梗死患者46例（後循環腦榦梗死組），均在髮病後24 h內、24 h、1週進行BAEP檢查，比較兩組患者Ⅰ、Ⅲ、Ⅴ波潛伏期和Ⅰ～Ⅲ、Ⅲ～Ⅴ、Ⅰ～Ⅴ波峰間潛伏期。結果兩組患者髮病後24 h內、24 h、1週Ⅰ波潛伏期和Ⅰ～Ⅲ波峰間潛伏期比較，差異均無統計學意義（ P＞0.05）；後循環腦榦梗死組患者髮病後24 h內、24 h、1週Ⅲ、Ⅴ波潛伏期和Ⅲ～Ⅴ、Ⅰ～Ⅴ波峰間潛伏期均長于後循環TIA組（ P＜0.05）。結論後循環腦榦梗死患者Ⅲ、Ⅴ波潛伏期和Ⅲ～Ⅴ、Ⅰ～Ⅴ波峰間潛伏期變化較後循環TIA患者明顯， BAEP檢查對後循環TIA和後循環腦榦梗死具有一定的鑒彆診斷價值。
목적：관찰후순배단잠성뇌결혈발작（ TIA）화후순배뇌간경사환자뇌간은각유발전위（ BAEP）변화，탐토기림상의의。방법선택아원2011년7월—2013년12월수치적후순배TIA환자38례（후순배TIA조）화후순배뇌간경사환자46례（후순배뇌간경사조），균재발병후24 h내、24 h、1주진행BAEP검사，비교량조환자Ⅰ、Ⅲ、Ⅴ파잠복기화Ⅰ～Ⅲ、Ⅲ～Ⅴ、Ⅰ～Ⅴ파봉간잠복기。결과량조환자발병후24 h내、24 h、1주Ⅰ파잠복기화Ⅰ～Ⅲ파봉간잠복기비교，차이균무통계학의의（ P＞0.05）；후순배뇌간경사조환자발병후24 h내、24 h、1주Ⅲ、Ⅴ파잠복기화Ⅲ～Ⅴ、Ⅰ～Ⅴ파봉간잠복기균장우후순배TIA조（ P＜0.05）。결론후순배뇌간경사환자Ⅲ、Ⅴ파잠복기화Ⅲ～Ⅴ、Ⅰ～Ⅴ파봉간잠복기변화교후순배TIA환자명현， BAEP검사대후순배TIA화후순배뇌간경사구유일정적감별진단개치。
Objective To investigate the changes and clinical significance of brain stem auditory evoked potentials ( BAEP) of patients with posterior circulation transient ischemic attack ( TIA) and patients with posterior circulation brain stem infarction.Methods From July 2011 to December 2013 in our hospital, 38 patients with posterior circulation TIA were selected as A group , and 46 patients with posterior circulation brain stem infarction selected as B group.Both groups underwent BAEP ex-amination within 24 h, at 24 h and at 1 week of onset, peak latency (PL) of Ⅰ, Ⅲ, Ⅴ waves and inter -peak latency ( IPL) of Ⅰ-Ⅲ, Ⅲ-Ⅴ, Ⅰ-Ⅴwaves between the two groups were compared .Results There was no significant differ-ences of PL ofⅠor IPL ofⅠ-Ⅲwave between the two groups within 24 h, at 24 h and at 1 week of onset (P>0.05); while PL ofⅢ, Ⅴwaves and IPL of Ⅲ-Ⅴ, Ⅰ-Ⅴwaves of B group were longer than those of A group within 24 h, at 24 h and at 1 week of onset (P<0.05).Conclusion PL of Ⅲ, Ⅴ waves and IPL of Ⅲ-Ⅴ, Ⅰ-Ⅴwaves of patients with posterior circulation brain stem infarction are significantly longer than those of patients with posterior circulation TIA , and BAEP examina-tion has a certain value in differentiation diagnosis of posterior circulation TIA and posterior circulation brain stem infarction .
