摘要
各种原因造成的重症脑功能损伤早期进行脑功能评估,对判断预后及临床救治有重要的指导意义。临床观察、格拉斯哥昏迷评分和神经影像技术对昏迷预后的判断缺乏特异性,且敏感性差。而动态脑电图监测可以对昏迷患者脑功能动态变化和治疗效果进行监测,是判断预后和脑死亡的重要指标。目前较为常用的三种脑电图分级标准为Lavizzari分级标准、Synek分级和Young分级标准。脑电图及其分级标准在不同病因的重症脑功能损伤的预后评估中均有很好的准确率和相符性。
Early functional assessment of severe cerebral dysfunction from multiple causes is critical for the determination of prognosis and clinical management.Clinical observation,Glasgow coma scoring and neuroimaging are less specific and less sensitive for determining the prognosis of the coma patients.As an important measure of prognosis and brain death,dynamic electroencephalography can monitor the dynamic cerebral function and treatment outcome in coma patients.Currently used grading scales of electroencephalography consist of Lavizzari′s,Synek′s and Young′s scales.Electroencephalography and its grading scales are favorably accurate and consistent in the determination of the prognosis of severe cerebral dysfunction from multiple causes.
出处
《医学综述》
2010年第7期1054-1056,共3页
Medical Recapitulate
关键词
脑电图
分级标准
预后
重症脑功能损伤
Electroencephalography
Grading scale
Prognosis
Severe cerebral dysfunction
