剥夺睡眠与睡眠诱发试验脑电图对不同类型癫痫的作用  

Effects of sleep-depvired and sleep EEG in patients with different types of seizures

作　　者：白勤[1] 

机构地区：[1]北京市神经外科研究所电生理室,北京100050

出　　处：《临床脑电学杂志》2000年第4期208-209,共2页

摘　　要：目的 :探讨诱发试验脑电图与不同类型癫的关系及临床意义。方法 :对 98例临床确诊的癫患者分别进行常规脑电图检查和剥夺睡眠诱发及睡眠诱发脑电图试验 ,比较三次结果的异常率和棘波出现率。结果 :睡眠与剥夺睡眠诱发试验均可提高脑电图的异常率和棘波出现率 ,均可提高全身性强直阵挛发作、复杂部分性发作和失神发作等类型癫的棘波出现率 ,剥夺睡眠诱发还可提高简单部分发作棘波的出现率 ,而对多种类型并存者和不能分类者均无意义。结论 :诱发试验提高棘波出现率不仅与诱发方法有关 ,而且与癫的发作类型有关。Objective:To probe into the relations between induced test EEG and different types of seizures as well as its clinical significance.Methods: Conventional EEG,sleep and sleep deprived EEG were recorded in 98 patients with epilepsy diagnosed clinically.The abnormality rate of EEG and the emergence rate of spike waves were compared with each other.Results:Both sleep EEG and sleep,deprived EEG could increase the abnormality rate of EEG and the emergencl rate of spike waves in generalized tonic-clonic seizures,conplex partial seizure and absence seizure.The sleep deprivation could also increase the emergence rate of spikes waves in simple partial seizure.But sleep deprivation had no significance in patients with several kinds of seizures and those seizures which could not be classified.Conclusions:To increase the emergence rate of spike waves by induced test was not only related to the method of induced test,but also to the types of seizures.

关 键 词：癫痫 诱发试验 睡眠脑电图 剥夺睡眠脑电图 

分 类 号：R742.1[医药卫生—神经病学与精神病学]