1. 慢性意识障碍患者昏迷恢复量表与事件相关电位的相关性分析.
- Author
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董 艺, 谭 浩, 陶 希, and 宋 涛
- Abstract
Objective: To explore the correlation between coma recovery scale (CRS-R) and event-related potential MMN and P300 in patients with prolonged disorders of consciousness, thereby establishing the clinical value of CRSR scale combined with event-related potential in assessing the level of consciousness in these patients. Method: Sixty-one patients with disturbance of consciousness were enrolled according to the inclusion criteria, and all patients completed the CRS- R assessment and event- related potential (MMN and P300) within the same time period (72 hours). The data collected were first subjected to a normality test, and the data with normal distribution were examined by pearson correlation analysis, while the data that did not fit a normal distribution were analyzed using spearman correlation. Then, the two sets of data that showed correlation were further analyzed using multivariate linear regression, considering multiple factors such as age, gender, duration, etiology, BMI, level of consciousness. Result: Considering confounding factors (age, gender, duration of illness, etiology, BMI, and level of consciousness), there were correlations between CRS-R (hearing) and MMN (F4 latency); CRS-R (vision) and MMN (CZ amplitude); MMN (FZ amplitude), MMN (F3 amplitude), CRS-R (movement) and MMN (CZ amplitude) and MMN (F4 amplitude); CRS-R(arousal) and MMN (F4 latency); CRS-R (total score) and MMN (CZ amplitude). The correlation coefficients was significant: CZ(amplitude)with CRS-R(motion)at 0.759, F4(amplitude) with CRS-R (motion) at 0.689, FZ (amplitude) with CRS-R (vision) at 0.685. There were also correlations between CRS-R (auditory) and P300 (F3 amplitude), CRS-R (visual) and P300 (CZ amplitude), CRS-R (mouth movement)and P300(F4 latency, FZ latency). Conclusion: There are significant correlations between the various scoring items of CRS-R scale and the amplitude and latency of MMN and P300 electrode points. These findings provide objective and direct electrophysiological evidence to support the clinical behavioral evaluation of chronic consciousness disorder. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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