颅脑手术后发作性癫患者视频脑电图监测的临床意义  

Significance of video EEG monitoring in brain surgery merged with paroxysmal epilepsy

作　　者：邝学媚[1] 刘红敏[1] 

机构地区：[1]广东深圳市中医院脑电图室,深圳518033

出　　处：《中国实用神经疾病杂志》2013年第5期20-22,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨颅脑手术后发作性癫患者视频脑电图(video-EEG,VEEG)监测的临床意义。方法回顾分析2009-02—2012-09我院收治的颅脑手术后发作性癫患者为研究对象,用常规脑电图(EEG)与VEEG进行监测,对两种监测结果进行比较。结果 VEEG监测结果中异常放电比例高于EEG的检查结果,组间比较差异有统计学意义(P<0.01);EEG检查结果的样放电率和临床发作检出率均低于VEEG监测结果,组间比较差异有统计学意义(P均<0.01)。结论运用VEEG监测颅脑手术后发作性癫患者具有重要的临床实践意义,为临床诊断和鉴别癫提供了更精确的参考依据。Objective To further study and explore the clinical significance of brain surgery merged with paroxysmal epilepsy in video EEG monitoring. Methods Patients of brain surgery merged with paroxysmal epilepsy in our hospital from February 2009 to September 2012 were chosen as the research object. The clinical data were taken for retrospective analysis and research. The related results of the two monitoring methods were compared. Results The level of video-EEG monitoring abnormal discharge was higher than ordinary EEG monitoring level in the results, there was a statistically significant difference（P〈 0.01）. The ordinary EEG epilepsy monitoring results like discharge rate and clinical attack detection rate were lower than the video EEG monitoring results, there was a statistically significant difference（P〈0.01）. Conclusion The application of video- EEG monitoring in patients with epilepsy in the clinical treatment of brain surgery has an important clinical practical significance, and also is important to the epilepsy diagnosis and identification.

关 键 词：颅脑手术 癫癎 视频脑电图监测 

分 类 号：R742.1[医药卫生—神经病学与精神病学]