体感诱发电位分级标准与脑功能损伤的预后预测  

Somatosensory evoked potential grading standard and prognosis in cerebral dysfunction

作　　者：赵红[1] 宿英英[1] 

机构地区：[1]首都医科大学宣武医院神经内科ICU,北京100053

出　　处：《中国急救医学》2003年第12期849-850,共2页Chinese Journal of Critical Care Medicine

基　　金：北京市科委科研基金资助项目 (No .95 3 3 0 40 0 3 )

摘　　要：目的　比较两种体感诱发电位 (SEP)分级标准对脑功能损伤患者预后预测的准确性。方法　对 4 0例大脑半球病变的急性脑血管疾病患者进行SEP动态监测 ,并根据两种分级标准 (Judson标准和Zentner标准 )进行SEP分级。结果　两种标准的SEP分级与预后均有显著相关性 (P <0 0 0 1) ,SEP级别越高 ,预后越差。经Logistic回归分析 ,两者生存预测的准确率相等 ,Judson标准的死亡预测准确率及生存和死亡综合预测的准确率均高于Zentner标准。结论　根据Judson标准进行的SEP分级能较好地反映脑功能损伤的变化过程 ,预测预后准确率高 ,适于临床推广应用。ObjectiveThe aim of this study was to compare the prognostic predication of different somatosensory evoked potential (SEP) grading standards in cerebral dysfunction.MethodsThe SEP of all the 40 patients who suffered from acute cerebrovascular disease(CVD) in the hemisphere were recorded continuously,and SEP grading according to two different SEP grading standards (Judson and Zentner) was made.ResultsTwo different SEP grading standards showed much closer correlation with outcome(P<0.001):the higher the SEP grade was,the poorer the outcome was.Logistic regression showed that the prognostic accuracy of survival was equal, and the Judson standard was better for prognostic accuracy of death and of both survival and death.ConclusionThe SEP grading standard of Judson demonstrated the change of cerebral dysfunction well and was a reliable predictor for outcome.

关 键 词：体感诱发电位 分级标准 预后 预测 脑血管病 脑功能损伤 

分 类 号：R741.04[医药卫生—神经病学与精神病学]