40 Hz听性稳态反应对大面积脑梗死患者的预后评估

Prognostic evaluation of 40 Hz auditory steady-state response in patients with large cerebral infarction

目的:探讨40 Hz听性稳态反应对大面积脑梗死患者的预后评估效果。方法:选择某医院收治的60例脑梗死患者,在入院24 h内完成40 Hz aSSEP、BAEP和下肢SLSEP检查,观察患者入院1个月内的生存和死亡情况,以及出院3个月的疾病恢复情况,评价这三种检查在评估大面积脑梗死患者的预后效果差异。结果:两组患者的40 Hz aSSEP评分差异具有统计学意义(P<0.05),而BAEP和下肢SLSEP的评分差异无统计学意义(P>0.05)。两组患者的40 Hz aSSEP评分差异具有统计学意义(P<0.05),BAEP和下肢SLSEP的评分差异也具有统计学意义(P<0.05)。结论:40 Hz aSSEP评分可作为大面积脑梗死患者预后评估的可靠标准。

Objective:To evaluate the prognosis of 40 Hz auditory steady-state response in patients with large area cerebral infarction.Methods: 60 patients with cerebral infarction were selected and examined within 24 hours after admission, and the survival and death of the patients were observed within one month after admission. To evaluate the prognostic effect of 40 Hz aSSEP BAEP and lower extremity SLSEP in patients with large area cerebral infarction.Results: there was significant difference in 40 Hz aSSEP score for two group(P<0.05), but there was no significant difference in BAEP and lower extremity SLSEP score(P>0.05). There were significant differences in 40 Hz aSSEP scores for group and the poor prognosis group(P<0.05) and the lower extremity SLSEP score(P<0.05). Conclusion: the 40 Hz aSSEP score can be used as a reliable criterion for the prognosis evaluation of the patients with large area cerebral infarction, as well as the lower extremity SLSEP score.