体感诱发电位对急性脑血管病患者肢体功能恢复的评价

Evaluation of SEP on the limb's functions of patients with acute unilateral cerebral vascular disease.

本文用刺激正中神经在对侧头皮记录SEP皮层早成分方法对68例位于一侧丘脑、内囊及基底节部位病变的急性脑血管疾病患者进行检测,结果表明:SEP对急性脑血管疾病的定性及定位诊断意义不大,但SEP能对该类病人患侧肢体功能的恢复作出预后判断。无论是脑出血,还是脑梗塞,病变部位何在,病变范围大小如何,如SEP表现为缺如,则预示病人患肢功能恢复不佳。

Somatosensory evoked potentials (SEPs) were studied by stimulation of medain nerve in 68 cases with acute unilateral vascular disease located in thalamus,basal ganglion and internal capsule respectively which were recognized by computerized tomography (CT) scan.It was shown that SEPs have little diagnostic significance to the nature and location of cerebral vascular disease,but they might serve as an objective indication on e-valuating the functions of the affected limb.If all SEPs components disappeared the affected limb's functions might be predicted as poor rehabilitation regardless of cerebral hemorrage or in farction,scope of the lesion and location.