脑电图的临床应用——附800例异常脑电图的临床分析  

Clinical application of EEG,an analysis of abnormal EEG in 800 patients.

作　　者：范乃珍[1] 成培霞[1] 李建玲[1] 

机构地区：[1]新乡市中心医院脑电图室,河南新乡453000

出　　处：《临床和实验医学杂志》2007年第5期60-61,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨脑电图检查的适应证,使脑电图得到更广泛的临床应用。方法对近几年来我科所做的所有中重度异常的脑电图共800例进行回顾分析。结果800例中中度广泛性异常423例,痫样放电190例,重度广泛性异常110例,局灶性异常40例,阵发性节律波16例,电静息16例,高峰矢律5例。病因:癫痫287例,病毒性脑炎及脑系感染202例,外伤88例,脑出血40例,脑梗死32例,头疼27例,头晕14例,病因不明28,其他病因约30多种82例。结论对脑电图敏感常见的病因有癫痫、脑炎、外伤、脑血管病、头痛、头晕,另外还有约30多种病因在对脑功能产生损害时脑电图也有明显反应。Objective To investigate the indications of electroencephalography. Methods Electroencephalographic data of 800 patients with moderate and severe abnormality in Electroencephalogram （EEG） were retrospectively analyzed. Results Of the 800 patients, 287 patients suffered from epilepsy, 202 patients viral encephalitis or other cerebral infections, 88 patients craniocerebral trauma, 40 patients cerebral hemorrhage, 32 patients cerebral infarction, 27 patients headache, 14 patients dizziness, the etiology was unknown in 28 patients. EEG showed moderate generalized abnormality in 423 patients, epileptiform discharges in 190 patients, severe generalized abnormality in 110 patients, focal abnormality in 40 patients, paroxysmal rhythmic waves in 16 patients. Conclusion EEG is sensitive to the diagnoosis of epilepsy, encephalitis, cranio- cerebral trauma, cerebrovascular diseases, headache, dizziness. Another 30 diseases can also show profound changes in EEG when cerebral function is injured.

关 键 词：异常脑电图 病因 

分 类 号：R741.044[医药卫生—神经病学与精神病学]