应用神经电生理监测重症脑损害的脑功能研究  

The cerebral function monitoring with neurophysiology in severe brain injury

作　　者：范秀玉[1] 王琳娜[1] 范博[1] 姚丹[1] 

机构地区：[1]齐齐哈尔医学院附属第三医院电生理科,黑龙江齐齐哈尔161000

出　　处：《中国现代医学杂志》2012年第10期97-99,共3页China Journal of Modern Medicine

摘　　要：目的探讨应用神经电生理技术评价重症脑损害脑功能的价值。方法采用脑电图(EEG)、脑干听觉诱发电位(BAEP)等神经电生理技术,对106例神经重症所致昏迷患者的脑功能进行监测。结果 EEG异常率达100%。主要异常有中高幅慢波型、发作波型、α昏迷型、β昏迷型、纺锤昏迷型、三相波型、平坦波型及爆发-抑制型等8种类型。BAEP检查32例,异常率46%(15/32)。随访表明脑电图异常类型与预后密切相关(P<0.05)。结论联合应用神经电生理技术监测神经重症患者的脑功能变化,对重症脑损害的病因诊断、抢救治疗及预后评估等具有重要的临床价值。【Objective】 To evaluate the value of the cerebral function monitoring with neurophysiology in severe brain injury.【Methods】 106 cases with severe brain injury and coma was monitored with neurophysiology.【Results】 The EEG of the 106 patients with severe brain injury was markedly abnormal（100%）.The EEG showed that there were eight types,exhibition middling-high breadth slow wave,paroxysm wave,α-coma,β-coma,spindle-coma,triphasic wave,electrocerebral silence wave,burst-suppression wave.The BAEP abnormal quotiety was 46%（15/32） in the 32 cases.【Conclusion】 Analysis of abnormal neurophysiology in severe brain injury may be of some significance in determining the pathogenesis and treatment and predicting the prognosis.

关 键 词：重症脑损害 脑功能 神经电生理 

分 类 号：R741.044[医药卫生—神经病学与精神病学]