诊断异型癫痫动态脑电图监测的意义  

Significance of AEEG Monitoring in the Diagnosis of Unusual Epilepsy

作　　者：史玫[1] 方红[1] 阮卫云[1] 孔峰[2] 

机构地区：[1]河南省新乡市中心医院,453000 [2]郑州市儿童医院

出　　处：《职业与健康》2008年第18期1959-1960,共2页Occupation and Health

摘　　要：目的提高对异型癫痫的临床认识,探讨动态脑电图(AEEG)在异型癫痫诊断中的作用。方法通过对286例临床疑诊为异型癫痫的病人,进行常规脑电图(REEG)及AEEG描记。结果REEG检查正常224例(78.3%),异常62例(21.7%)。AEEG检查正常172例(60.1%),异常114例(39.9%)。2组异常率差异有统计学意义,χ2=22.19,P<0.01。结论充分认识异型癫痫的临床及实质性分类,并对临床疑似异型癫痫,而REEG未能显示痫样波发放者,应及早做AEEG监测,以便早期确诊。[ Objective] To improve the clinical understanding of unusual epilepsy and explore the significance of AEEG in the diagnosis of unusual epilepsy. [ Methods] REEG an AEEG were conducted on 286 clinically suspected unusual epilepsy patients. [ Resuits ] The REEG detection showed that 224 cases （ 78.3% ） were normal and 62 cases （21.7%） were abnormal; the AEEG detection showed that 172 cases （ 60. 1% ） were normal and 114 cases （ 39. 9% ） were abnormal, the difference was significant （P 〈 0.01 ）. [ Conclusion] Complete understanding is required on the clinical and essential categorization of unusual epilepsy; early AEEG detection should be given on the suspected usual epilepsy whose REEG failed to indicate epilepsy wave for the early diagnosis of the disease.

关 键 词：诊断 异型癫痫 动态脑电图 

分 类 号：R741.044[医药卫生—神经病学与精神病学]