SEP与BAEP检测在脑卒中预后评估中的作用比较曾小雁穆斌苏微微肖丽萍康志新佟翠梅(中国石油天然气集团公司中心医院河北廊坊065000)【摘要】目的：探讨体感诱发电位(Somatosensoryevokedpotential,SEP)和听觉诱发电位(Brainstemauditoryevokedpotential,BAEP)在.脑卒中预后评估中的应用价值，及其与常用卒中评估量表的相关性。方法：选择木院2012年4月-2013年4月收治的脑卒中患者74例为观察对象，入院后48h内进行体感诱发电位(SEP)和听觉诱发电位(BAEP)连续监测，同时进行美国国立卫生研究院卒中量表(NIHSS)评分、欧洲卒中评分(ESS)和格拉斯哥预后分级量表(GOS)，并根据预后结局分为A组(预后良好：)和B组(预后不良：)，并对SEP和BAEP与各量表间相关性进行分析。结果：BAEP显示I波后各波的潜伏期和峰间潜伏期均显著延长，而SEP显示PL延长，且以预后不良者最为显著(P<0.05)oB组NIHSS评分高于A组，而ESS评分则显著低于A组(P<0.01)，A组患者的BAEP和SEP异常率均显著低于B组(P<0.01)oBAEP的V波PL与NIHSS呈正相关(P<0.05),与ESS和GOS呈明显的负相关(P<0.05)；SEP-N20缺失与NIHSS水平呈正相关(P<0.01),与ESS和GOS均呈负相关(P<0.01),且SEP与各量表相关r值高于BAEP。结论：体感诱发电位和听觉诱发电位对脑卒中患者预后均可进行较为准确的评估，并均与现有评估量表•有较高的相关性，其中以体感诱发电位相关性最高。【关键词】脑卒中；体感诱发电位；听觉诱发电位；量表；相关性【中图分类号】R543【文献标识码】A【文章编号】1004-6194(2015)01-0039-02SEPandBAEPdetectionintheroleofstrokeprognosisassessmentZengXiaoyan,MuBin,SuWeiwei,XiaoLiping,KangZhixin,TongCuimei(Langfang,Hebei,CentralHospitalofCNPC)[Abstract]Objective:Investigatethesomatosensoryevokedpotentials(somatosensoryevokedpotential,SEP)andtheauditoryevokedpotential(90auditoryevokedpotential(BAEP)applicationvalueintheprognosisofcerebralapoplexyandwithcommonstrokeassessmenttableofcorrelation.Methods:ourhospitalinApril2012-April2013treated74casesofcerebralapoplexypatientsasobservationobject,within48hafteradmissiontothesomatosensoryevokedpotential(SEP)andtheauditoryevokedpotential(BAEP)continuousmonitoring,atthesametimetheUnitedStatesnationalinstitutesofhealthstrokescale(NIHSS)score,Europeanstrokescale(ESS)andgradingGlasgowoutcomescale(GOS),andaccordingtotheprognosisofoutcomeweredividedintogroupA(goodprognosis:)andgroupB(prognosis),andtheSEPandBAEPandcorrelationanalysisofthescale.Results:BAEPshowedIeachwaveafterwaveincubationperiodandthepeaktopeakweresignificantlyprolongtheincubationperiod,theSEPshowPLextension,andpoorprognosisasthemostsignificant(P<0.05).NIHSSscorehigherthanthatofgroupA,groupBandESSscoreweresignificantlylowerthanthatofgroupA(P<0.01),AgroupofpatientswithabnormalBAEPandSEPrateweresignificantlylowerthanthatofgroupB(P<0.01).BAEPofVwavePLandNIHSSwerepositivelycorrelated(P<0.05),andESSandGOSwassignificantlynegativecorrelation(P<0.05);SEP-N20missingandNIHSSlevelswerepositivelycorrelated(P<0.01),andnegativelycorrelatedwithESSandGOS(P<0.01),andSEPisassociatedwitheachscalervaluehigherthanthatofBAEP.Conclusion:somatosensoryevokedpotentialandprognosisofauditoryevokedpotentialsinpatientswithcerebralapoplexycanberelativelyaccurateassessment,andallwiththeexistingassessmentscaleisofhighrelevance,inwhichthehighestsomatosensoryevokedpotentialrelevance.【keyWords】Stroke;Somatosensoryevokedpotential;Auditoryevokedpotentials.Scale;Thecorrelation急性脑卒中是临床最常见的脑血管疾病，具冇较高的发病率、致残率和致死率，给社会和家庭带来了极苏沉重的负担。及吋、准确地判断患者预后结局，可以指导临床医生正确的治疗。随着近年来神经电生检测技术的发展，特...