原发性癫痫90例睡眠结构及脑电事件分析  

Analysis on sleep structures and EEG events in 90 patients with idiopathic epilepsy

作　　者：李桂花[1] 张晓馨[1] 徐江涛[1] 杨俊[1] 宋永斌[1] 梁晓慧[1] 于春芳[1] 张立群[1] 吕芸[1] 

机构地区：[1]解放军兰州军区乌鲁木齐总医院神经内科,新疆乌鲁木齐830000

出　　处：《临床军医杂志》2011年第1期40-42,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨原发性癫痫患者睡眠结构及脑电事件特点。方法对90例符合原发性癫痫诊断标准的患者进行多导睡眠图(PSG)检查,分析患者的睡眠结构、夜间激醒事件及异常脑电事件。结果本组病人PSG睡眠结构特点表现为患者睡眠阶段的转换增加,睡眠片断及睡眠效率减低,睡眠质量低下,结构紊乱。REM期比例减少例数76例(占84.44%),REM潜伏期增加例数70例(占77.78%),Ⅰ+Ⅱ期比例增加例数64例(占71.11%),Ⅲ+Ⅳ比例减少例数44例(占48.89%),入睡潜伏期增加例数为41例(占45.56%)。整夜激醒次数为(103.20±131.76)次,激醒次数增多者占88.89%。睡眠脑电图(EEG)监测结果显示有异常放电者占38.30%,尤其以浅睡期发放显著。结论原发性癫痫患者存在睡眠结构紊乱。Objective To investigate the sleep structures and characteristics of EEG events in patients with idiopathic epilepsy.Methods The sleep architectures wake up events at night and abnormal EEG events were analyzed in 90 patients who met the diagnostic criteria of idiopathic epilepsy by polysomnography（PSG） examination.Results The sleep structures of this group of patients in PSG characterized as increased sleep stages conversion,reduced sleep fragments and sleep efficiency,poor sleep quality and disorder sleep structures.76（84.44%） cases were reduced in REM stage,70（77.78%） cases were increased in REM latency,64（71.11%） cases were increased in Ⅰ＋Ⅱ stages,44（48.89%） cases were reduced in Ⅲ＋Ⅳ stages,41（45.56%） cases were increased in sleep latency.Night waking times were（103.20±131.76）.There were 88.89% patients whose night waking time in creased.Sleep electroencephalogram（EEG） monitoring showed abnormal discharge accounted for 38.30%,especially in light sleep stage.Conclusion The patients with idiopathic epilepsy have disturbance of sleep structure.

关 键 词：癫痫 多导睡眠图 睡眠结构 脑电事件 

分 类 号：R742.1[医药卫生—神经病学与精神病学]