脑干听觉诱发电位对于昏迷患儿监测的研究

The study of BAEP mlonitoring for children with coma

目的对昏迷患儿进行脑干听觉诱发电位(BAEP)监测,为早期诊治提供临床依据。方法随机抽取48例昏迷的患儿,同时进行格拉斯哥昏迷评分(Glasgowcoma scale,GCS)和BAEP检查。将48例病人根据GCS评分分为3组,将每组病人的BAEP检查结果按由轻至重分为6个等级,并将病人转归纳入研究,进行统计比较。结果昏迷组患儿的BAEP结果显示,随着GCS评分降低,患儿的BAEP结果异常发生率逐渐升高,而且BAEP异常严重等级也逐渐加大。当BAEP显示V波缺失时,通常预后不良。结论BAEP监测对于昏迷患儿的脑功能判断、评价治疗以及评估预后有着显著的临床意义。

Objective Coma is commonly occurred at neurotic patients. And we will monitor these patients by BAEP in order to investigate the relationship between the prognosis and parameters of BAEP. Methods We classified 48 coma patients into 4 groups by Glasgow Coma Scale, and then examined them by BAEP. Based on the parameters, the patients classified into 6 levels. Studying the relationship between the prognosis and parameters. Results With the score of GCS decrease, the more patients show abnormal in BAEP. It always means poor prognosis when the V is absent in the patients＇BAEP, Conclusion BAEP can be used to evaluate the function of brainstem, and provide much information to help treatment as well.