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[脑干听觉诱发电位测定在慢性肾功能衰竭及维持性血液透析患者中的意义]

[Significance of brainstem auditory evoked potential determination in chronic renal failure and maintenance hemodialysis patients].

作者信息

Fan Y P, Jiang J J, Qian T S

机构信息

Affiliated Hospital of Nantong Medical College.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 1994 Apr;14(4):220-1, 197.

PMID:7950198
Abstract

Brainstem auditory evoked potentials (BAEP) were measured in 20 chronic renal failure patients and 8 maintenance hemodialysis patients. The BAEP in chronic renal failure patients was showed that wave I, III, V peak latencies (PL) and I-III, I-V interpeak latencies (IPL) were markedly increased. The significant reductions, although not to normal, of wave III, IV PL and I-III, I-V IPL were recorded in postdialysis (average 4.2 months) compared with that in predialysis. A correlation analysis revealed no consistent relationships between plasma proteins, hemoglobin, urea, creatinine serum electrolytes and BAEP PL or IPL. The authors realize that BAEP could be used as a subjective index in deciding the inner ear and nervous system damage in chronic renal failure, and it also provided an electrophysiologic evidence for the relationship of Kidney and ear in traditional Chinese medicine.

摘要

对20例慢性肾衰竭患者和8例维持性血液透析患者进行了脑干听觉诱发电位(BAEP)检测。结果显示,慢性肾衰竭患者的BAEP中,波I、III、V的峰潜伏期(PL)以及I-III、I-V的峰间潜伏期(IPL)均显著延长。与透析前相比,透析后(平均4.2个月)波III、IV的PL以及I-III、I-V的IPL虽未恢复正常,但有显著缩短。相关性分析表明,血浆蛋白、血红蛋白、尿素、肌酐、血清电解质与BAEP的PL或IPL之间无一致关系。作者认为,BAEP可作为判断慢性肾衰竭患者内耳及神经系统损害的客观指标,也为中医肾与耳的关系提供了电生理学依据。

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