周天健,童奔.300例截瘫的体感诱发电位检查[J].中国脊柱脊髓杂志,1992,(4):.
300例截瘫的体感诱发电位检查
Somatosensory evoked potentials in 500 cases paraplegia patients injured in Tangshan earthquake
  
DOI:
中文关键词:  体感诱发电位 外伤性 截瘫
英文关键词:Somatosensory evoked potentials,Traumatic Paraplegia,Spinal cord injury
基金项目:
周天健  童奔
中国康复研究中心 (周天健,关骅)
,北京市结核病研究所 (童奔,吴启秋)
,北京市结核病研究所(降淑娟)
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中文摘要:
  对唐山市1976年地震所致的截瘫伤员,随机抽样做体感诱发电位(SEP)检查300例,其中完全截瘫209例,不全截瘫91例,共检查腓总神经和正中神经SEP 600侧,发现416侧完全性截瘫的SEP全部消失,不全截瘫的166侧,58%的SEP存在。研究结果表明:不全截瘫病人SEP消失与否与脊髓损伤平面以下的肌力状况无关,而深感觉则与SEP的存在与消失显著相关。SEP与足趾定位觉检查呈等级相关。SEP不能直接反映急性脊髓损伤后运动功能是否良好,仅间接与脊髓的前索状况有关。本组根据91幅异常SEP图形,将其归纳为6种主要表现,并试图分析其发生基础及与临床的关系。急性脊髓损伤后SEP消失多数预后不良,但在创伤初期确定其不恢复的最终时间仍有困难。
英文摘要:
  300 paraplegic patients who were injured in the Tangshan earthquake in 1976 were randomly selected attending the examination of somatosensory evoked potentials. 209 cases of these patients were complete paraplegia and the others (91 cases) were incomplete
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