脑干听觉诱发电位、瞬目反射及运动诱发电位联合检测对脑卒中昏迷患者预后评估的意义  

Prognosis value of united detection with BAEP,BR and MEP in comatose patients with stroke

作　　者：朴虎男[1] 金鲜花[1] 吴光[1] 

机构地区：[1]延边大学附属医院神经内科,吉林延吉133000

出　　处：《延边大学医学学报》2012年第3期223-225,共3页Journal of Medical Science Yanbian University

基　　金：吉林省科技发展计划项目(编号:200905209)

摘　　要：[目的]研究脑干听觉诱发电位(BAEP)、瞬目反射(BR)及运动诱发电位(MEP)3项联合检测评估脑卒中昏迷病人预后的意义.[方法]对36例脑卒中昏迷病人进行格拉斯哥昏迷量表(GCS)评分及BAEP,BR,MEP检测,并与BAEP及GCS评分评估预后结果进行对比分析.[结果]BAEP,BR及MEP3项联合检查对脑卒中昏迷患者预后评估的敏感性为96.3%,特异性为100.0%,准确性为97.2%,均明显高于GCS评分结果(P<0.05).[结论]BAEP,BR及MEP联合检测可给脑卒中昏迷患者预测预后提供客观可靠的依据.OBJECTIVE To study the prognosis value of united detection with brainstem auditory evoked potentials（BAEP）, blink reflex （BR） and motor evoked potenfials（MEP） in comatose patients with stroke. METHODS 36 comatose patients with stroke were examinned by detection of BAEP, BR and MEP, and grading of glasgow coma scale （GCS）, and its results of prognosis value were comparatively analyzed. RESULTS The results of prognosis value showed that 96.3% of sensitivity, 100.0% of specificity, and 97.2% of accuracy were higher in BAEP, BR united MEP group than in the GCS group （P〈 0.05）. CONCLUSION The united detection with BAEP, BR and MEP can provide an objective indicator for evaluating the prognosis of comatose patients with stroke.

关 键 词：诱发电位 听觉 脑干 脑血管意外 昏迷 预后 

分 类 号：R743[医药卫生—神经病学与精神病学]