瞬目反射和脑干听觉诱发电位在意识障碍患者脑干功能评估中的应用

doi:10.3969/j.issn.1006-9771.2017.10.011

《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2017, Vol. 23 ›› Issue (10): 1176-1179.doi: 10.3969/j.issn.1006-9771.2017.10.011

• CONTENTS • Previous Articles Next Articles

Application of Blink Reflex and Brainstem Auditory Evoked Potential in Brain Stem Function Evaluation of Patients with Consciousness Disorder

HE Ying, LI Xiao-yi, SHAO Xi-cang, LI Yu-zhuo, WANG Pan, ZHANG Dai-jun

Department of Neurological Electrophysiology, Guizhou Provincial People's Hospital, Guiyang, Guizhou 550002, China

Received:2017-02-09 Revised:2017-05-24 Published:2017-10-25 Online:2017-11-03
Contact: SHAO Xi-cang. E-mail: lxyeng@126.com

Abstract

Abstract: Objective To explore the characteristics of blink reflex (BR) and brainstem auditory evoked potential (BAEP) in patients with consciousness disorder and the role of BR and BAEP in the evaluation of brain stem function.Methods From January to December, 2015, 31 patients with consciousness disorder were examined with BAEP, BR and Glasgow Coma Scale (GCS), and the outcome was recorded one month after examination.Results BAEP and BR were positively related with GCS score (r≥0.562, P<0.05) and outcome (χ²=9.644, P<0.01).Conclusion Both BR and BAEP can reflect the brain stem function and respective pathway. Their combination could provide Objective basis for prognosis evaluation.

Key words: blink reflex, brainstem auditory evoked potential, consciousness disorder

CLC Number:

R742

HE Ying, LI Xiao-yi, SHAO Xi-cang, LI Yu-zhuo, WANG Pan, ZHANG Dai-jun. Application of Blink Reflex and Brainstem Auditory Evoked Potential in Brain Stem Function Evaluation of Patients with Consciousness Disorder[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(10): 1176-1179.

References

[1] Covelli V, Sattin D, Giovannetti AM, et al. Caregiver's burden in disorders of consciousness: a longitudinal study [J]. Acta Neurol Scand, 2016, 134(5): 352-359.
[2] Reith FC, Synnot A, van den Brande R, et al. Factors influencing the reliability of the Glasgow Coma Scale: a systematic review [J]. Neurosurgery, 2017, 80(6): 829-839.
[3] 肖淑英,宿英英,张艳,等. 诱发电位预测重症脑卒中患者不良预后时机研究[J]. 中国现代神经疾病杂志, 2015, 15(12): 944-949.
[4] 卢祖能. 实用肌电图学[M]. 北京:人民卫生出版社, 2000: 339-343.
[5] 张艳,宿英英. 脑干听觉诱发电位分级标准评价脑功能损伤的研究[J]. 中国急救医学, 2003, 23(9): 623-624.
[6] Reith FC, van den Brande R, Synnot A, et al. The reliability of the Glasgow Coma Scale: a systematic review [J]. Intensive Care Med, 2016, 42(1): 3-15.
[7] Chastain CA, Oyoyo UE, Zipperman M, et al. Predicting outcomes of traumatic brain injury by imaging modality and injury distribution [J]. J Neurotrauma, 2009, 26(8): 1183-1196.
[8] Ganes T, Lundar T. EEG and evoked potentials in comatose patients with severe brain damage [J]. Electroencephalogr Clin Neurophysiol, 1988, 69(1): 6-13.
[9] Su YY, Xiao SY, Haupt WF, et al. Parameters and grading of evoked potentials: prediction of unfavorable outcome in patients with severe stroke [J]. J Clin Neurophysiol, 2010, 27(1): 25-29.
[10] Liesien R, Kevalas R, Uloziene I, et al. Search for clinical and neurophysiological prognostic patterns of brain coma outcomes in children [J]. Medicina (Kaunas), 2008, 44(4): 273-279.
[11] Mabin D, Mimassi N, Besson G, et al. [Prognostic value of the trigemino-facial reflex in severe post-traumatic comas] [J]. [in French]. Rev Electroencephalogr Neurophysiol Clin, 1982, 12(4): 349-356.

Application of Blink Reflex and Brainstem Auditory Evoked Potential in Brain Stem Function Evaluation of Patients with Consciousness Disorder

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 6

Metrics

Comments

Recommended 0

[1]	CHEN Zhe-si, LIU Jian-cheng, ZHAO Xiao-hua, ZHENG Zhong, BAI Ling, YANG Dan, WANG Wen-chun. Effects of Electroacupuncture on Consciousness Disorders Based on Transcranial Magnetic Stimulation: Study with Mismatch Negativity [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(1): 102-106.
[2]	YU Qing-yun;HONG Ming-fan;CHENG Jing.. Relationship among Characteristic of Blink Reflex, Facial Nerve Electroneurography and Functional Lesion at the Early Stage of Bell's Palsy [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2014, 20(7): 663-666.
[3]	GONG Chun-dan;YANG Hong.. Early Detection Tools for Cerebral Palsy (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2011, 17(4): 340-343.
[4]	XIE Cai-zhong;LIU Xin-feng. Effects of Electric Stimulation on Mastoidea on Ischemic Stroke using TCD and BAEP [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2009, 15(12): 1126-1128.
[5]	WANG Pao-qiu;ZHANG Hui-jia;WANG Yi-mei;et al. Auditory Nerve Way Injury of Children with Cerebral Palsy:A 963-case Report [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2007, 13(06): 553-554.
[6]	ZHANG Jian-hong;FAN Jian-zhong;QI Zhi-qiang. Effect of Nimodipine on hemorrheology and BAEP in the patients with vertebrobasilar insufficiency [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2002, 8(11): 679-681.