短潜伏期体感诱发电位在急性额颞叶缺血性脑卒中后抑郁早期预警中的应用效果

Effect of applying short latency somatosensory evoked potentials for early warning of depression after acute frontotemporal ischemic stroke

目的探讨短潜伏期体感诱发电位(SLSEP)在急性额颞叶缺血性脑卒中后抑郁早期预警中的应用效果。方法选取2018年6月至2019年6月我院收治的急性额颞叶缺血性脑卒中患者75例为研究对象,采用汉密尔顿抑郁量表(HAMD)将其分为抑郁组40例和对照组35例(非抑郁患者)。均采用SLSEP进行评估,观察患侧SLSEP的变化情况。结果两组患者患侧SLSEP检测中N9,N13潜伏期及潜伏期异常率比较差异无统计学意义(P>0.05);与对照组比较,抑郁组患者患侧SLSEP检测中N20潜伏期更长,潜伏期异常率更高(P<0.05)。结论急性额颞叶缺血性脑卒中患侧SLSEP的N20潜伏期数值可作为判断患者抑郁的重要参考指标,根据诊断结果尽早实施干预措施,有效缓解抑郁情绪。

Objective To investigate the effect of short latency somatosensory evoked potentials(SLSEP)for early warning of depression after acute frontotemporal ischemic stroke.Methods To select 75 cases of patients with acute frontotemporal ischemic stroke treated in our hospital from June 2018 to June 2019 as the study subjects.They were divided into 40 cases for depression group and 35 cases for control group(non-depressed patients)by using Hamilton depression scale(HAMD).All were evaluated by SLSEP,and the changes of SLSEP of affected side were observed.Results There was no significant difference in the latency of N9 and N13 and abnormality rates of latency in the SLSEP test of affected side between the patients of two groups(P>0.05).The latency of N20 in the SLSEP test of affected side in the depression group was longer than that in the control group,and the abnormality rates of latency was higher than that in the control group(P<0.05).Conclusion The application of the N20 latency value of SLSEP of affected side in acute frontotemporal ischemic stroke could be used as an important reference index for judging the depression of patients,and intervention measures should be implemented as soon as possible based on the diagnosis results to effectively relieve depression.