长程视频脑电图在癫痫诊断及临床实践中的应用

发布时间：2018-01-21 03:02

本文关键词： 长程视频脑电监测癫痫时相异常放电　出处：《世界最新医学信息文摘》2016年85期 　论文类型：期刊论文

【摘要】：目的:探讨长程视频脑电监测(VEEG)应用在癫痫诊断及临床实践中的应用价值,并观察其在临床中的运用疗效。方法:选取2014年1月-2016年1月在本院行长程视频脑电图监测的200例患者作为研究对象,对患者3、8、15、24h的脑电图监测结果进行分析,了解临床发作和癫痫样异常放电的关联。结果:200患者中,共监测到130例出现临床发作现象,120例诊断为癫痫,65例无法明确诊断是否属于癫痫,另15例诊断为非癫痫患者。70例无临床发作的患者中,发作间期异常放电45例,癫痫不能排除;余下25例始终无异常放电,不能诊断是否为癫痫。根据监测时相发现3h时相和8h时相的临床发作率比较,差异有统计学意义(P0.05)。8h时相和15h时相的临床发作率比较,差异有统计学意义(P0.05)。8h时相和24h时相的临床发作率比较,差异无统计学意义(P0.05)。四个时相的异常放电率比较,差异无统计学意义(P0.05)。结论:相比传统的脑电图(EEG)监测,VEEG优势更加显著,能够显著提高癫痫样异常放电检出率和临床发作检出率,帮助临床医师确诊癫痫、明确分型,值得临床推广应用。
[Abstract]:Objective: To investigate the long-term video EEG monitoring (VEEG) application value in the diagnosis of epilepsy and clinical practice, and to observe the curative effect in clinical use. Methods: January 2014 -2016 year in January 200 cases in our hospital, video EEG monitoring of patients as the research object, the results of EEG monitoring in patients with 3,8,15,24h through the analysis of the related understanding of clinical seizures and epileptic abnormal discharge. Results: 200 patients, 130 patients were detected in 120 cases of clinical seizures, diagnosed as epilepsy, 65 cases could not be diagnosed whether epilepsy, other 15 cases were diagnosed as non epileptic patients.70 patients without clinical seizures in 45 patients. Cases of abnormal discharge interval seizures, epilepsy can not be excluded; the remaining 25 cases had no abnormal discharge, not whether the diagnosis of epilepsy. According to the monitoring phase 3H phase and 8h phase of the clinical attack rate comparison, the difference was significant Yi (P0.05).8h phase and 15h phase of the clinical attack rate comparison, the difference was statistically significant (P0.05) at.8h phase and 24h phase of the clinical attack rate comparison, the difference was not statistically significant (P0.05). The abnormal rate of discharge phase four, the difference was not statistically significant (P0.05). Conclusion: compared the traditional EEG (EEG) monitoring, VEEG more significant advantages, can significantly improve the detection rate of epileptiform discharge and abnormal clinical seizure detection rate, help clinicians to diagnose epilepsy, clear classification, it is worthy of clinical application.

【作者单位】：河北省邯郸市第一医院神经内科;
【分类号】：R742.1
【正文快照】： 0引言癫痫是临床上常见的中枢神经系统疾病,癫痫的种类多样,具有发作性、短暂性、重复性、禁止性等共同的特征,在临床上的诊断需要依据出现癫痫的临床症状以及脑电图上出现痫样放电,在实际临床工作中癫痫的临床分类相对较难,很多患者难以确定其临床类型。癫痫是由于脑部神经元

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