小儿热性惊厥的动态脑电图监测研究  

Monitor and study the AEEG in children with febrile convulsion

作　　者：孔峰[1] 逯成音[2] 赵皎[2] 史玫[2] 

机构地区：[1]河南省郑州市儿童医院,河南郑州450053 [2]河南省新乡市中心医院,河南新乡453000

出　　处：《河南医学研究》2008年第2期122-124,共3页Henan Medical Research

摘　　要：目的：研究脑电图、动态脑电图（AEEG）在小儿热性惊厥诊断中的价值。方法：使用MB8000型8导AEEG仪对2002年10月-2007年10月监测资料完整的158例PC患儿常规脑电图（REEG）及AEEG结果进行对比分析。结果：AEEG正常106例（67.0%）,异常35例（22.2%）,痫样波17例（10.8%）。总异常52例（33.0%）。REEG正常124例（78.5%）,异常39例（18.4%）,痫样波5例（3.2%）,总异常34例（21.5%）。AEEG与REEG异常率及痫样波异常率均有显著性差异,χ^2=5.176,P〈0.05。χ^2=7.035,P〈0.01。结论：AEEG检查在绝大多数FC患儿中虽无特异性改变,但AEEG能够完整长时间记录大脑功能的瞬间改变,对病史或诊断类型不清甚至有些定位体征的FC患儿的鉴别诊断预后及指导治疗有着重要临床价值,应作为常规检查为妥。Objective： Research the diagnostic value of REEG and AEEG in children with febrile convulsion. Methods ： Comparative analyze the results of REEG and AEEG in 158 cases of children with febrile convulsion completely from October 2002 - October 2007 using MB8000-8-guided AEEG. Results： The results of AEEG were normal in 106 cases（67.0% ） ,abnormal were 35 cases 2 3 8 2% ） , 17 cases displayed epileptiform wave （ 10. 8% ）, and total abnormal were 52 cases 0% ）. The results of REEG were normal in 124 cases （78.5%） , abnormal were 39 cases 4% ） ,5 cases displayed epileptiform wave （ 3.2% ） , total abnormal were 34 cases （ 21.5 % ）. There was significant difference between abnormal rate and epileptiform wave abnormal rate of AEEG and REEG, （χ^2= 5. 176,P 〈 0.05. χ^2= 7. 035, P 〈 0.01 ）. Conclusion ： AEEG inspection was non-specific changes in the vast majority of children with febrile convulsion,but AEEG could completely record the instant change in brainfunction in a long time. There was an important clinical value on the differential diagnosis and treatment in children with febrile convulsion whose history or diagnosis of type unclear or some signs positioning. AEEG should be a routine examination.

关 键 词：小儿 热性惊厥 动态脑电图 研究 

分 类 号：R246.4[医药卫生—针灸推拿学]