脑电图、脑干听觉诱发电位、视觉诱发电位在小儿脑性瘫痪早期诊断中的对比分析

Comparative analysis of electroencephalogram,brainstem auditory evoked potentials and visual evoked potential in early diagnosis of children cerebral palsy

目的探讨脑电图(EEG)、脑干听觉诱发电位(BAEP)、视觉诱发电位(VEP)在小儿脑性瘫痪早期诊断中各自的作用及其相互关系。方法对75例小儿早期脑性瘫痪的EEG、BAEP、VEP检测结果进行回顾性分析。结果 EEG异常率为73.33%,BAEP异常率为81.33%,VEP异常率为30.67%,EEG异常率和BAEP异常率与VEP异常率比较,差异有高度统计学意义(P<0.01),EEG异常率与BAEP异常率比较,差异无统计学意义(P>0.05);EEG异常率与小儿脑性瘫痪(CP)类型有关;BAEP异常率与高危因素有关。结论脑性瘫痪早期应用EEG、BAEP、VEP检查,对脑性瘫痪早期诊断有一定的参考价值,他们之间能起到互补的作用,对临床综合分析更有意义。

Objective To research the function and correlations of electroencephalogram （EEG）, brainstem auditory evoked potentials （BAEP） and visual evoked potential （VEP） in early diagnosis of cerebral palsy of children. Methods The EEG, BAEP and VEP test results of 75 children who were diagnosed as early cerebral palsy were analyzed retrospectively. Re- sults Abnormal rate of EEG was 73.33%, abnormal rate of BAEP was 81.33%, abnormal rate of VEP was 30.67%, the com- paring of abnormal rate of EEG and BAEP with VEP had statistical significance （P 〈 0.01）, the comparing of abnormal rate of EEG with BAEP was not statistical significant （P 〉 0.05）; abnormal rate of EEG was related to the type of CP, BAEP ab- normal was related to the rate and high risk factors. Conclusion The using of EEG, BAEP, VEP show reference value at the early diagnosis of cerebral palsy, they play the role of complementary function and good for clinical comprehensive analysis.