瞬目反射和脑干听觉诱发电位在意识障碍患者脑干功能评估中的应用  

Application of Blink Reflex and Brainstem Auditory Evoked Potential in Brain Stem Function Evaluation of Patients with Consciousness Disorder

作　　者：何颖[1] 李晓裔[1] 邵西仓[1] 李玉琢[1] 王盼[1] 张代君[1] HE Ying;LI Xiao-yi;SHAO Xi-cang;LI Yu-zhuo;WANG Pan;ZHANG Dai-jun(Department of Neurological Electrophysiology, Guizhou Provincial People's Hospital, Guiyang, Guizhou 550002,China)

机构地区：[1]贵州省人民医院神经电生理科,贵州贵阳市550002

出　　处：《中国康复理论与实践》2017年第10期1176-1179,共4页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察瞬目反射(BR)和脑干听觉诱发电位(BAEP)在意识障碍患者中的变化特征,探讨其对意识障碍患者脑干功能的评估作用。方法 2015年1月至12月,31例意识障碍患者行BR、BAEP检查,同时进行Glasgow昏迷量表(GCS)评分。1个月后进行预后判断。结果 BAEP、BR分级与GCS评分均呈正相关(r≥0.562,P<0.05)。BAEP、BR各级预后有非常显著性差异(χ2=9.644,P<0.01)。结论 BAEP、BR检查方便易行,能敏感地反映脑干功能,并能反映脑干不同传导通路,两者联合检查能更加客观地为预后评定提供可靠的依据。Objective To explore the characteristics of blink reflex(BR)and brainstem auditory evoked potential(BAEP)in patientswith consciousness disorder and the role of BR and BAEP in the evaluation of brain stem function.Methods From January to December,2015,31patients with consciousness disorder were examined with BAEP,BR and Glasgow Coma Scale(GCS),and the outcome was recordedone month after examination.Results BAEP and BR were positively related with GCS score(r≥0.562,P<0.05)and outcome(χ2=9.644,P<0.01).Conclusion Both BR and BAEP can reflect the brain stem function and respective pathway.Their combination could provide objectivebasis for prognosis evaluation.

关 键 词：瞬目反射 脑干听觉诱发电位 意识障碍 

分 类 号：R742[医药卫生—神经病学与精神病学]