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[目的]研究脑干听觉诱发电位(BAEP)、瞬目反射(BR)及运动诱发电位(MEP)3项联合检测评估脑卒中昏迷病人预后的意义.[方法]对36例脑卒中昏迷病人进行格拉斯哥昏迷量表(GCS)评分及BAEP,BR,MEP检测,并与BAEP及GCS评分评估预后结果进行对比分析.[结果]BAEP,BR及MEP3项联合检查对脑卒中昏迷患者预后评估的敏感性为96.3%,特异性为100.0%,准确性为97.2%,均明显高于GCS评分结果(P<0.05).[结论]BAEP,BR及MEP联合检测可给脑卒中昏迷患者预测预后提供客观可靠的依据.
[Objective] To evaluate the significance of the combined assessment of brainstem auditory evoked potentials (BAEP), blink reflex (BR) and motor evoked potential (MEP) in the evaluation of the prognosis of patients with stroke coma [Methods] Thirty-six stroke coma patients Glasgow Coma Scale (GCS), BAEP, BR, MEP and compared with BAEP and GCS score prognosis. [Results] The sensitivity of BAEP, BR and MEP3 joint examination to prognosis evaluation of stroke coma patients (96.3%), specificity (100.0%) and accuracy (97.2%) were significantly higher than those of the GCS score (P0.05). [Conclusions] The combined detection of BAEP, BR and MEP can provide objective and reliable prognosis for patients with cerebral apoplexy coma The basis.