胡晓晴，李志军，徐金枝，张苏明.脑干听觉诱发电位在脑出血微创术前后的改变[J].中华物理医学与康复杂志,2003,(4):.-
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| 脑干听觉诱发电位在脑出血微创术前后的改变 |
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| DOI： |
| 中文关键词: 高血压脑出血 微创术 脑干听觉诱发电位 |
| 英文关键词: ICH Minimally invasive surgery Brainstem auditory evoked potential Brain function |
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| 中文摘要: |
| 目的观察高血压脑出血患者微创术前、后脑干听觉诱发电位(BAEP)的变化，辅助评价微创术的疗效。 方法对36例高血压脑出血患者进行微创术治疗，监测术前、术后24，48，72 h以及术后第7天的BAEP改变。 结果本组存活30例，6例死亡，死亡率为16.7%。术前BAEP异常主要表现为潜伏期（PL）及峰间潜伏期（IPL）延长，与正常对照组相比，差异有显著性（P<0.05）。术后24 h内复查，PL和IPL均有明显下降，与术前相比，差异有显著性意义（P<0.05）。术后48，72 h和7 d复查BAEP，与术前相比，PL和IPL虽然下降，但差异无明显统计学意义（P>0.05）；与正常对照组相比，PL和IPL仍有延长（P<0.05）。 结论微创术安全、有效。BAEP作为急性缺血、缺氧时脑干功能状态的一项检测指标可以用于高血压脑出血患者微创术前、后监测及预后评估。 |
| 英文摘要: |
| Objective To evaluate the efficacy and safety of minimally invasive surgical intervention in treating the patients of hypertensive intracerebral hemorrhage (ICH) by monitoring the changes of brainstem auditory evoked potential (BAEP). MethodsThe minimally invasive surgical intervention was applied for the treatment of 36 patients with ICH. Serial measurements (pre-operation, and 24h, 48h, 72h and 7days post-operation) of the BAEP were made. ResultsThe mortality was 16.7% (6/36). Before operation, both of the peak latency(PL) and the interpeak latency(IPL) in BAEP were significantly prolonged as compared to those of the normal controls（P<0.05）. Twenty-four hours after the operation, the PL and IPL were shortened sharply in comparing with the pre-operative state（P<0.05）.But no significant difference was revealed between the pre-operation period and 48h,72h and 7days after the operation as regard to the PL and IPL. However, compared to the normal controls, the PL and IPL were still prolonged （P<0.05）. ConclusionBAEP can be used as one of the indices to monitor the brainstem function in the patients with ICH before and after the minimally invasive surgery. |
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