体感诱发电位及脑干听觉诱发电位对脑血管病患者预后的预测作用  

Predictive value of somatosensory evoked potential and brainstem auditory evoked potential in the prognosis of cerebrovascular disease patients

作　　者：胡辉华 HU Huihua(Xuchang Central Hospital,Xuchang 461000,China)

机构地区：[1]许昌市中心医院,河南许昌461000

出　　处：《中国实用神经疾病杂志》2019年第4期386-391,共6页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析体感诱发电位(SEP)及脑干听觉诱发电位(BAEP)对脑血管病患者预后的预测作用。方法选取许昌市中心医院收治的40例脑卒中昏迷患者,在患者昏迷早期分别进行SEP和BAEP检查,记录格拉斯哥昏迷评分(GCS),对预后进行分析。结果 SEP联合BAEP检测对脑血管病患者预后的敏感性96.0%,特异性100.0%,准确性97.5%,GCS评分对脑血管病患者预后的敏感性、特异性和准确性分别为72.0%、60.0%、67.5%;SEP联合BAEP检测的准确性、敏感性和特异性分别高于单独SEP、BAEP检测(P<0.05)。结论 SEP联合BAEP检测对脑卒中患者的预后判断具有较高的准确性。Objective To analyze the predictive value of somatosensory evoked potential (SEP) and brainstem auditory evoked potential (BAEP) in the prognosis of patients with cerebrovascular disease. Methods A Forty coma patients were selected from the stroke patients admitted into our hospital,SEP and BAEP examination were performed respectivelyin the early stages of coma patientsand theGlasgow coma score (GCS) of patients were recorded,then the prognosis of patients were analyzed. Results The sensitivity of SEP and BAEP combined detection to the prognosis of patients with cerebrovascular disease was 96.0%,the specificity was 100%and the accuracy was 97.5%,the sensitivity,specificity and accuracy of GCS score in predicting the prognosis of patients with cerebrovascular disease,was 72%,60%and 67.5% respectively,in addition,the sensitivity,accuracy and specificity of SEP and BAEP combined detection were higher than SEP or BAEP detection respectively, P <0.05. Conclusion The combined detection of SEP and BAEP has high accuracy in the prognosis of patients with stroke,which can provide an objective and reliable basis for predicting the prognosis of patients with cerebrovascular disease.

关 键 词：体感诱发电位 脑干听觉诱发电位 脑血管病 昏迷 

分 类 号：R743[医药卫生—神经病学与精神病学]