急诊脑电图及睡眠图对急性脑梗死的诊断价值  

Study on the Diagnostic Value of Emergency-electroencephalogram and Hypnogram to Acute Cerebral Infarction

作　　者：高晓夏[1] 刘勇[1] 董万利[1] 

机构地区：[1]苏州大学附属第一医院神经内科,江苏苏州215006

出　　处：《苏州大学学报（医学版）》2008年第1期74-77,共4页Suzhou University Journal of Medical Science

基　　金：中华医学会-海尔PSSO临床应用与再研究项目(H8000311)

摘　　要：目的探讨急诊脑电图(EmEEG)和睡眠图对急性幕上脑梗死的诊断价值。方法对42例急性脑梗死患者入院后即行连续脑电图记录,取最初30 min内无伪差的EEG为EmEEG,再与初次头颅CT结果对比。结果E-mEEG阳性率为71.4%,其中幕上脑梗死阳性率为79.4%,首次CT阳性率为59.5%,两者相比,差异有高度统计学意义(P<0.01)。起病12 h以上,随着CT阳性率的提高,EmEEG较之CT在诊断价值上的优势逐渐降低。25例幕上脑梗死患者中头颅CT异常率为72.0%,EmEEG异常率为76.0%,睡眠期脑电图异常率为79.31%。结论EmEEG对于早期及超早期CT排除出血而又未能显示梗死灶的急性脑梗死患者诊断价值较CT大。Objective To investigate the diagnostic value of emergency-EEG(EmEEG) and sleep electroencephalogram to acute cerebral infarction.Methods Forty-two patients with acute cerebral infarction were collected.The first 30 minutes artifact-free segment of CEEG was selected as EmEEG,and its diagnostic value was compared with CT.Results The EmEEG revealed that acute cerebral infarction abnormal accounted for 71.4%,while the number was 59.5% for the first CT scanning.Among those suffering from subcortical and cortica...

关 键 词：急诊脑电图 急性脑梗死 睡眠图 

分 类 号：R743.3[医药卫生—神经病学与精神病学]