【摘要】 目的　研究诱发电位对急性期昏迷病人预后的价值。方法　 180例患者在昏迷后第 1、3、7、10天进行脑干反射检查、GCS评分和多种诱发电位检测。结果　在昏迷第 1天GCS和脑干反射无预测价值 ,在第 1、3、7、10天GCS和脑干反射的预后准确率均低于 90 % ,各种诱发电位的预后准确率均高于 93 %。结论　体感和听觉诱发电位结合对昏迷患者预后的准确率高于GCS和脑干反射更多还原

【Abstract】 Purpose To evalute evoked potentials (EPs) as predictors of outcome in acute comatose patients. Methods glasgow coma scale (GCS),brainstem reflexes and EPs examinations were performed on 1st,3rd,7th and 10th day in 180 comatose patients. Results Neither GCS nor brainstem reflexes had prognostic value on 1st day.On 3rd,7th and 10th day,GCS and brainstem predicted outcome with no more than 90% accuracy.EPs predicted outcome with more than 93% accuracy. Conclusions Data from Eps were more accurate than GCS and brainstem reflexes as predictors of the outcome in acute comatose patients.更多还原