亚临床肝性脑病患者多种形式诱发电位联合检测的临床意义

THE CLINICAL SIGNIFICANCE OF EXAMINATIONS OF MULTIPLE KINDS OF EVOKED POTENTIAL IN THE PATIENTS WITH SUBCLINCAL HEPATIC ENCEPHALOPATHY

目的:探讨事件相关电位(P300),脑干听觉诱发电位(BAEP),体感诱发电位(SEP),视觉诱发电位(VEP)对亚临床肝性脑病(SHE)的临床诊断价值。方法:根据临床分级,对36例临床诊断为亚临床肝性脑病(SHE)的患者进行P300、BAEP、SEP、VEP检测分析。结果:36例SHE患者中P300异常者26例(72%),BAEP异常者23例(64%),SEP异常者17例(47%),VEP异常者9例(25%)。结论:P300、BAEP、SEP、VEP的检测有助于亚临床肝性脑病(SHE)的早期诊断。

Objectives:To explore the value of P300,BAEP,SEP and VEP in the clinical diagnosis of subclinical hepatic encephalopathy(SHE).Methods:According to the clinical classification of SHE,P300,BAEP,SEP and VEP were examined in 36 patients with SHE and then analyzed the results.Results:In the 36 patients with SHE,the abnormal cases of P300,BAEP,SEP,VEP were 26 cases(72%),23 cases(64%),17 cases(47%) and 9 cases(25%) respectively.Conclusions:The P300,BAEP,SEP and VEP examinations are helpful to the early diagnosis of subclinical hepatic encephalopathy(SHE).