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[缺氧后昏迷患者的听觉P300。初步数据]

[Auditory P300 in subjects in a post-anoxic coma. Preliminary data].

作者信息

Mutschler V, Chaumeil C G, Marcoux L, Wioland N, Tempé J D, Kurtz D

机构信息

Service d'explorations fonctionnelles du système nerveux, hôpital de Hautepierrè, centre hospitalier universitaire, Strasbourg, France.

出版信息

Neurophysiol Clin. 1996;26(3):158-63. doi: 10.1016/0987-7053(96)89626-2.

Abstract

The first results concerning the role of event related potentials (P300) in assessing a prognosis in comatose patients reported in the literature have been encouraging. The cause of the coma is an important prognostic factor by itself, especially when traumatic and anoxic comas are compared, with a less favorable prognosis in anoxic coma. In our study, only anoxic patients have been investigated using somatosensory evoked potentials, brainstem auditory evoked potentials P300 auditory event-related potentials. Clinical evaluation was performed using Glasgow, Liege and Jouvet coma scales. In twenty patients studied, six had a positive P300 and three of them awake. Out of the 14 patients without a P300 only one awoke (5%), 12 patients died and one is in deep coma. Despite the small number of patients in this study, the first results confirm the interest of auditory P300, in addition to clinical evaluation and evoked potential testing.

摘要

文献中报道的关于事件相关电位(P300)在评估昏迷患者预后方面作用的首批结果令人鼓舞。昏迷的病因本身就是一个重要的预后因素,尤其是在比较创伤性昏迷和缺氧性昏迷时,缺氧性昏迷的预后较差。在我们的研究中,仅使用体感诱发电位、脑干听觉诱发电位、P300听觉事件相关电位对缺氧患者进行了研究。使用格拉斯哥、列日和茹韦昏迷量表进行临床评估。在研究的20名患者中,6名P300呈阳性,其中3名苏醒。在14名无P300的患者中,仅1名苏醒(5%),12名患者死亡,1名处于深度昏迷状态。尽管本研究中的患者数量较少,但首批结果证实了除临床评估和诱发电位测试外,听觉P300的价值。

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