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脑干听觉诱发电位(BAEP)动态观察在椎-基底动脉缺血性疾病中的价值

Sequential follow-up of BAEP in older subjects with vetebral-basilar ischemic diseases
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摘要 本文报告70例临床确诊的椎-基底动脉缺血性疾病应用BAEP进行了长达2个月到3年动态观察并和脑CT对比。提示梗塞组BAEP异常率占26/30例(86.6%)明显高于供血不足组25/40例(62.5%),发病早期检测明显高于晚期检测组,检测结果可直接反映病情演变。而脑CT梗塞组阳性仅11例(36.6%)供血不足组全部阴性。本文认为BAEP不仅有助于椎-基底动脉缺血性疾病早期诊断,而且可用于动态观察病情转归的客观指标。应早期检测,持续动态观察。 Sequential follow -up BAEP, compared with CT scanning, was studied in 70 cases of vetebral-basilar ischemic diseases for 2 months to 3 years. The positive results of BAEP in infarct group were obtained in 26/30 (86.6%) cases, in ischemic group were in 25/40 (62.5%) cases. Only 11 (36.6%) cases in infarct group revealed abnormal CT findings. Positive findings of BAEP showed a much more higher rate in the early stage of disease. Through dynamic observa tions it was proved that the changes of BAEP findings were closely related to their clinical menifestations. In conclusion, BAEP is a reliable examination in the early diagnosis of vetebralbasilar diseases and its sequential follow-up is feasible in the evaluation of prognosis of the disease.
出处 《军医进修学院学报》 1990年第4期296-299,共4页 Academic Journal of Pla Postgraduate Medical School
关键词 诱发电位 听觉 诊断 椎基底动脉缺血 鉴别 BAEP Evoked potentials auditory Diagnostic use Vertebrobasilar insufficiency Diagnosis differential
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