视频脑电图在儿童重症颅内感染中的诊断价值研究

发布时间：2018-07-05 13:51

本文选题：颅内感染 + 重症　；参考：《中华医院感染学杂志》2017年22期

【摘要】：目的研究视频脑电图在儿童重症颅内感染中的诊断价值,旨在明确其临床价值,提高早期诊断率。方法选取2013年7月-2016年7月医院住院治疗的重症颅内感染患儿35例,记录和分析其视频脑电图检查、MRI检查异常分布及构成,以及重症颅内感染儿童急性期及恢复期视频脑电图特征、视频脑电图异常与治愈时间相关性。结果视频脑电图监测异常率为88.57%,高于头颅MRI的74.29%,差异有统计学意义(P0.05);重症颅内感染儿童急性期视频脑电图背景脑电图异常31例、占88.57%,均见与年龄不符的广泛高-极高波幅或低波幅的慢活动,伴发尖棘波22例、占62.86%;恢复期视频脑电图乙型脑炎背景异常率93.75%、化脓性脑膜炎91.67%、结核性脑膜炎75.00%、单纯疱疹病毒性66.67%;重症颅内感染儿童治愈时间与视频脑电图监测异常程度具有正相关性(r=0.528,P0.05)。结论视频脑电图在儿童重症颅内感染中能敏感捕捉轻微或早期脑功能变化,有助于儿童重症颅内感染早期诊断、病情判断、临床治疗指导、预后评价,其效果显著、作用明确。
[Abstract]:Objective to study the diagnostic value of video EEG in children with severe intracranial infection in order to clarify its clinical value and improve the early diagnosis rate. Methods from July 2013 to July 2016, 35 children with severe intracranial infection who were hospitalized from July 2013 to July 2016 were selected to record and analyze the abnormal distribution and composition of MRI in video EEG examination. The characteristics of video EEG in children with severe intracranial infection in acute and convalescent stage, the correlation between abnormal video EEG and cure time were also discussed. Results the abnormal rate of video EEG monitoring was 88.57, which was higher than that of cranial MRI (74.29), the difference was statistically significant (P0.05). The rate of 88.57 was 88.57, and 22 cases were accompanied by spikes and spikes, all of which showed wide slow activity with high, very high or low amplitudes, which did not correspond to the age. The abnormal background rate of video EEG type B encephalitis was 93.7575 in convalescent stage, 91.67 in suppurative meningitis, 75.00 in tuberculous meningitis and 66.67 in herpes simplex virus. There was a positive correlation between the cure time of severe intracranial infection and the abnormal degree of video EEG monitoring (rn 0.528 P 0.05). Conclusion Video EEG can sensitively capture slight or early changes of brain function in children with severe intracranial infection, which is helpful to early diagnosis, clinical treatment and prognosis evaluation of severe intracranial infection in children.
【作者单位】：贵州省遵义医学院附属医院儿科;
【分类号】：R742.9

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