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[诱发电位在去大脑皮质综合征患者早期神经康复中的预后价值]

[The prognostic value of evoked potentials in early neurologic rehabilitation of patients with the apallic syndrome].

作者信息

Zeitlhofer J, Steiner M, Oder W, Obergottsberger S, Mayr N, Deecke L

机构信息

Neurologische Universitätsklinik Wien.

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1991 Mar;22(1):10-4.

PMID:1864243
Abstract

In 22 patients with apallic syndrome brainstem auditory and somatosensory evoked potentials were recorded, in 8 patients the course during rehabilitation was observed. Clinically the patients were scored with Glasgow-coma scale, Karnofsky-index and Goldenberg-scale. The outcome of rehabilitation was estimated by the "Glasgow-outcome scale". No correlation was found between results of evoked potentials and clinical state. First evoked potentials measurements of apallic patients allowed no prognosis. Evoked potentials are an important prognostic factor after severe head trauma, but have no value for the prognosis of apallic patients.

摘要

对22例植物状态综合征患者记录了脑干听觉和体感诱发电位,对其中8例患者观察了康复过程中的病情变化。临床上采用格拉斯哥昏迷量表、卡诺夫斯基指数和戈德堡量表对患者进行评分。康复结果采用“格拉斯哥预后量表”进行评估。诱发电位结果与临床状态之间未发现相关性。对植物状态患者首次进行诱发电位测量无法进行预后判断。诱发电位是重度颅脑外伤后的一个重要预后因素,但对植物状态患者的预后没有价值。

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