BAEP、BR及MEP联合检测在脑死亡诊断中的应用

Application of BAEP,BR and MEP combined detection for the diagnosis of brain death

目的探讨神经电生理在脑死亡判定中的应用价值。方法通过瞬间反射(BR)、脑干听觉诱发电位(BAEP)、运动诱发电位(MEP)三项联合检查对22例脑死亡患者进行评定,并与GCS评分结果进行比较。结果BAEP、BR和MEP三项联合检查对脑死亡判断准确率为100%,与GCS评分比较差异显著(P<0.05)。结论BAEP、BR和MEP三项联合检测对评价脑死亡患者的脑功能状态、预测预后提供了客观可靠的依据。

Objective To investigate the diagnosis value of neuro-electrophysiology detection for brain death.Methods Combined detection of brainstem auditory evoked potentials（BAEP）,blink reflex（BR） united motor evoked potentials（MEP） were used to access 22 brain death patients,and then compared with the Glasgow Coma Scale（GCS） scores.Results The accuracy of BAEP,BR and MEP combined detection was 100%,and which showed significant difference compared with GCS scores.Conclusion BAEP,BR united MEP testing can provide an objective indicator not only for evaluating brain function of brain death,but also for estimating prognosis.