小儿非典型急性脑炎早期诊断的脑电图证据  

THE EVIDENCE OF EEG IN EARLY DIAGNOSIS OF PEDIATRIC PATIENT WITH ATYPICAL ACUTE ENCEPHALITIS

作　　者：鲁在清 李汝海 刘娟 

机构地区：[1]山东省枣庄市市中区人民医院

出　　处：《现代电生理学杂志》2005年第3期154-156,共3页Journal of Modern Electrophysiology

摘　　要：目的:评价非典型的小儿急性脑炎(AE)脑电图异常的出现率及其证据意义。方法: 选择疑似AE组住院患儿48例,对照组为流行性腮腺炎伴脑膜脑炎住院患儿36例,对照比较两组间的临床表现、初诊脑电图改变特征及其演变规律、临床病程和诊治经过。结果:疑似AE组与对照组比较患儿急性期症状有较大的可比性(P>0.05),且急性期脑电图弥漫性慢波异常的出现率及异常程度两组间无显著差异(P>0.05),近期脑电图明显改善率和AE临床治愈率亦无显著差异(P>0.05)。结论:借助脑电图检查敏感性高的间接证据可有效补充对小儿非典型AE的临床早期诊断,减少漏诊和误诊。Objective： To evaluate abnormal rates of EEG and its roles in early diagnosis of acute atypical encephalitis. Methods： 48 cases were recruited from paediatric hospitalized patients with acute suspected encephalitis, 36 cases were selected as control group with conformed acute encephalitis accompanied by mumps in the same region, clinical information were compared between the two groups including clinical manifestations, pretreatment EEG recordings and dynamic changes, courses and therapies. Results： The two groups showed no significant difference in symptoms, abnormel rate and degree of diffused EEG slow waves, ratie of clinical cure and apparent improvement ratio of EEG during acute stage （P 〉 0.05） . Conclusion： EEG recording and dynamic changes offer a reliable sensitive indirect evidence for the early clinical diagnosis of pediatric atypical encephalitis.

关 键 词：小儿急性脑炎 非典型病例 脑电图 脑电图异常 间接证据 早期诊断 急性脑炎 非典型 小儿 住院患儿 

分 类 号：R725.1[医药卫生—儿科]