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肝硬化患者心理测验和脑诱发电位检查的临床意义

The clinical significance of evoked potentials and psychometric tests for patient with liver cirrhosis

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【作者】 钟碧慧陈旻湖崔毅何瑶袁育红胡品津

【Author】 (Department of Gastroenterology, The First Affiliated Hospital, Sun Yat-SenUniversity of Medical sciences, Guangzhou, 510080.)Zhong Bihui; Chen Minhu; Cui Yi, et al.

【机构】 中山医科大学附属第一医院消化内科!510080

【摘要】 为探讨亚临床型肝性脑病(SHE)的诊断方法,对36例肝炎肝硬化患者同时进行心理测验和脑诱发电位检查。结果:心理测验异常16例,其中言语智商异常12例,操作智商异常14例;3种诱发电位总异常15例,其中听觉诱发电位(RAEP)异常12例,视觉诱发电位(VEP)异常3例,体感诱发电位(SEP)异常6例;心理测验和/或脑诱发电位异常28例。提示同时进行心理测验与诱发电位检查可提高SHE的检出率。

【Abstract】 Objective: T0 explore the diagnostic methods of subelinical hepatic encephalopathy (SHE). Methods: E-voked potentials and psychometric tests were Perf0rmed in 36 Patients with hePaic cirrhosis. ha: Psychonetric testS wereabnormal in 16 cases (M% ) in which verbal ability was abnormal in l2 Iniicnts (33% ) and performace test in l4 PatientS(38% ) .’Yhre kinds of ev0ked P0tentials were abnonlul in 15 Paient (42% ) in Which brain stem auditory evoked potential(BM) was abn0rIna in 12 (33% ), visual evoked poential (wr) in 3 (8% ) and ndosensory evoked poential (SEP) in6 Paients (16% ). Evoked P0tentiaIs and/or psychometric tesLs were ahnorInal in 28 (77% ). behaere: Cwhned exam-ination 0f three kinds of EP and psychonletric tests would increase the sensitivity for the detection of SHE.

  • 【文献出处】 广州医药 ,GUANGZHOU MEDICAL JOURNAL , 编辑部邮箱 ,1999年05期
  • 【分类号】R575.2
  • 【被引频次】2
  • 【下载频次】21
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