小儿手足口病并发脑炎患儿的脑电图改变及其意义  

EEG Changes of Children with Hand-foot-mouth Disease Complicated by Encephalitis and Their Sginificance

作　　者：刘燕敏[1] 

机构地区：[1]新疆石河子大学医学院第一附属医院脑电诊断室,新疆石河子市832008

出　　处：《中国全科医学》2010年第20期2255-2256,共2页Chinese General Practice

摘　　要：目的探讨小儿手足口病并发脑炎患儿的脑电图(EEG)改变及其意义。方法对我院收治的93例临床确诊为小儿手足口病并发脑炎的患儿EEG检测结果进行回顾性分析,总结EEG的异常表现及患儿疾病严重程度与EEG异常程度的关系。结果 93例患儿中EEG异常92例,异常率为98.9%,主要表现为弥漫性慢波,部分出现棘(尖)波或棘(尖)-慢波;小儿手足口病并发脑炎的临床分度与EEG异常程度呈正相关(rs=0.743,P<0.001)。结论 EEG可作为小儿手足口病并发脑炎的诊断标准之一;EEG可作为判断小儿手足口病并发脑炎严重程度的指标;EEG的动态监测可作为临床判断小儿手足口病并发脑炎病情转归的一项指标。Objective To explore the electroencephalogram （EEG） changes of child patients with hand - foot - mouth disease complicated by encephalitis. Methods A retrospective analysis was performed on EEG results of 93 child patients with hand - foot - mouth disease complicated by encephalitis. The relationship of EEG abnormal appearance and disease severity to the degree of EEG abnormalities was observed. Results The rate of abnormal EEG was 98.9%, presenting mainly with diffuse slow wave, partly with spike wave or spike - slow wave. Conclusion EEG can be used as a diagnostic criteria and an indicator for diagnosis of the severity of child hand - foot - mouth disease with encephalitis, and EEG dynamic monitoring as an indicator for clinical diagnosis of disease turnover in child patients with hand - foot - mouth disease complicated by encephalitis.

关 键 词：手足口病 脑炎 并发症 脑电图 

分 类 号：R725.125.7[医药卫生—儿科]