体感诱发电位和改良脑出血量表在脑出血患者肢体运动功能预测中的应用

doi:10.3760/cma.j.issn.0254-1424.2010.06.010

科研成果详情

题名	体感诱发电位和改良脑出血量表在脑出血患者肢体运动功能预测中的应用
其他题名	Combining somatosensory evoked potential with a modified cerebral hemorrhage scale for the prediction of extremity function
作者	柯将琼1; 王小同1; 黄健康 1; 郑国庆1; 李勇 2; 胡蓓蕾2
发表日期	2010-06-25
发表期刊	中华物理医学与康复杂志影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	脑出血体感诱发电位脑出血量表预后
其他关键词	Cerebral hemorrhage ; Somatosensory evoked potential ; Intracerebral hemorrhage scale ; Prognosis
摘要	目的探讨短潜伏期体感诱发电位(SEP)和改良脑出血量表(MICH)在判断脑出血患者肢体运动功能预后的应用价值。方法对经本院神经内科确诊的脑出血患者61例行SEP检查,分别测定61例患者患、健侧胫后神经的P40潜伏期和波幅,根据患者下肢SEP峰潜伏期的差值及主要波形变化来观察患者的肢体功能,判断其肢体功能异常程度;同时采用MICH量表来预测患者的预后。患者于发病3个月后门诊随访,采用改良的Rankin量表(MRS)检测患者的预后情况。结果入院时,脑出血患者的患侧胫后神经P40潜伏期和波幅与健侧比较,差异均有统计学意义(P<0.01)。发病3个月后,脑出血患者患侧的P40潜伏期以及入院时的MICH量表得分与发病3个月后的MRS评分呈正相关;P40波幅与发病3个月后的MRS评分呈负相关。以MRS评分为判断标准,MRS评分≥4分为预后不良。SEP检测结果和MICH量表评分判断脑出血患者预后不良的敏感性分别为80.77%、84.61%,特异性分别为62.68%、88.57%,符合率分别为70.5%、86.9%。结论 SEP、MICH量表与肢体功能预后密切相关。联合应用SEP、MICH量表,则有助于判断脑出血患者肢体功能的预后。
其他摘要	Objective To evaluate the extremity function of patients with intracerebral hemorrhage (ICH) using short-latency somatosensory evoked potentials (SEPs) and a modified intracerebral hemorrhage (MICH) scale. Methods On admission, SEP was applied in the examination of 61 patients with ICH. P40 latency and the amplitude of posterior tibial nerve potentials in both the healthy and affected extremities were measured. Abnormalities were classified based on the margin of lower extremity SEP latency and the main waveform changes. MICH was measured simultaneously to prepare a prognosis. The modified Rankin scale (MRS) score was assessed 3 months after the attack as well. Results Compared with the healthy side, there were significant differences in posterior tibial nerve P40 latency and amplitude on the affected side among patients with ICH. P40 latency and MRS scores on the affected side 3 months after the attack were positively correlated. On the unaffected side, P40 amplitude and the MRS score 3 months after the attack were negatively correlated. The MICH score on admission and the MRS score 3 months after the attack were positively correlated. Based on MRS scores (MRS 4 indicating a poor prognosis), the predictive sensitivities for a poor prognosis of SEP and the MICH scale in patients with ICH were 80. 77% and 84. 61% respectively, while the specificities were 62. 68% and 88. 57% respectively, and the accordance rates were 70. 5% and 86. 9% respectively. Conclusions SEP and the MICH scale are closely correlated with the prognosis for extremity function in patients with ICH. The combination of SEP with the MICH scale might be helpful in predicting the prognosis of the patients with ICH.
资助项目	温州市科技计划资助项目（Y2005A086）
ISSN	0254-1424
卷号	32 期号:06 页码:439-441
DOI	10.3760/cma.j.issn.0254-1424.2010.06.010
页数	0
收录类别	CNKI ; 万方 ; 北大核心 ; PKU ; CSCD ; ISTIC
学科领域	医药、卫生 ; 临床医学
URL	查看原文
CSCD记录号	CSCD:3891725
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/71151
专题	附属第二医院第一临床医学院（信息与工程学院）、附属第一医院_内科学_神经内科
作者单位	1.温州医学院第二附属医院脑科康复中心; 2.温州医学院第二附属医院神经内科
第一作者单位	附属第二医院
第一作者的第一单位	附属第二医院
推荐引用方式 GB/T 7714	柯将琼,王小同,黄健康,等. 体感诱发电位和改良脑出血量表在脑出血患者肢体运动功能预测中的应用[J]. 中华物理医学与康复杂志,2010,32(06):439-441.
APA	柯将琼, 王小同, 黄健康, 郑国庆, 李勇, & 胡蓓蕾. (2010). 体感诱发电位和改良脑出血量表在脑出血患者肢体运动功能预测中的应用. 中华物理医学与康复杂志, 32(06), 439-441.
MLA	柯将琼,et al."体感诱发电位和改良脑出血量表在脑出血患者肢体运动功能预测中的应用".中华物理医学与康复杂志 32.06(2010):439-441.