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①.PDFVIP

中国康复理论与实践2017年10月第23卷第10期ChinJRehabilTheoryPract,Oct.,2017,Vol.23,No.10 - 1176 - DOI: 10.3969/j.issn. 1006-9771.2017.10.011 ·临床研究 · 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① 何颖，李晓裔，邵西仓，李玉琢，王盼，张代君 [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 2 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, P0.05) 。BAEP 、BR 各级预后有非常显著性差异(χ = 9.644, P0.01) 。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。 [关键词] 瞬目反射；脑干听觉诱发电位；意识障碍 Application of Blink Reflex and Brainstem Auditory Evoked Potential in Brain Stem Function Evaluation of Pa- tients with Consciousness Disorder HE Ying, LI Xiao-yi, SHAO Xi-cang, LI Yu-zhuo, WANG Pan, ZHANG Dai-jun Department of Neurological Electrophysiology, Guizhou Provincial Peoples Hospital, Guiyang, Guizhou 550002, China Correspondence to SHAO Xi-cang. E-mail: lxyeng@126.com Abstract: Objective To explore the characteristics of blink reflex (BR) and brainstem auditory evoked potential (BAEP) in patients with consciousness disorder and the role of BR and BAEP in the evaluation of brain stem function. Methods From January to December, 2015, 31 patients with consciousness disorder were examined with BAEP, BR and Glasgow Coma Scale (GCS), and the outcome was record- 2 ed one month after examination. Results BAEP and BR were positively related with GCS score (r≥0.562, P0.05) and outcome (χ =9.644, P0.01). Conclusion Both BR and BAEP can reflect the brain stem function and resp