动态脑电图和脑干听觉诱发电位对重症脑血管病预后评估的比较研究.pdfVIP

医药》2008年3月 第26趁箜 坦 J H—uaihai M—ed,Ma—rch 200—8,Vo1．—26,N—o．2 动态脑电图和脑干听觉诱发电位 对重症脑血管病预后评估的比较研究 张 干，苗 青，叶 斌，周 媛，宫 鑫 【摘 要l 目的 探讨并比较动态脑电图(AEEG)及脑干听觉诱发电位(BAEP)在重症脑血管病患者预后评价中的 作用。方法 对52例重症脑血管病患者入院后48 h内行AEEG检测，同时48 h内予BAEP检查。结果 AEEG检测 对重症脑血管病预后的评估的敏感性(72．0％)、特异性(94．7％)和准确率(84．6％)，均比BAEP的敏感性(51．9％)、 特异 I(71．0％)和准确率(57，7％)高。结论 动态脑电图检查对重症脑血管病患者的预后评估有意义，价值优于脑 干听觉诱发电位。 【关键词】 动态脑电图；脑干听觉诱发电位；重症脑血管病；预后 【中图分类号】 R743；R741．O44 【文献标识码】 A 【文章编号】 1008—7044(2008)02-0095-02 Compared study of ambulatory electroencephalography and auditory b~instem response at evaluation of prognosis of critical cerebral vascular disease ZHANG Can。MIAO Qing，YE Bing，et a1．(Institute ofNeurologyDepartment ofNeurol— ogy，The Third Peoples Hospital ofBengbu，Anhui 233000，China) 【Abstract】 Objective To determine and compare the effect of ambulatory electroeneephalography and auditory brainstem response at evaluation of prognosis of critical cerebral vascular disease．MetllOds 52 patients suffering from critical cerebral vascular disease were detected with ambulatory eleetroeneephalography and auditory brainstem response in 48 hours after hospi— talization．Reslllts The sensibility(72．0％)，specificity(94，7％)and accuracy rate(84，6％)of AEEG were higher than the sensibility(51．9％)，specificity(71．0％)and accuracy rate(57．7％)of BAEP at the evaluation of critical cerebral vascular disease．Conclusion Ambulatory eleetroeneephalography has reliable significance at evaluation of prognosis of critical eere— bral vascular disease．Its value is superior to auditory brainstem response． 【Key words】 Ambulatory eleetroeneephalography；Auditory brainstem response；Critical cerebral vascular disease；Progno— si0 脑血管疾病是影响人类健康和生存质量的常见 记录脑电图24 h，如48 h内死亡患者，记录至死亡时 病之一，重症脑血管病的致残率和死亡率极高，正确 间止，并于48 h内行BAEP检查。(4)有严重心、肝