连续脑电监测对大脑中动脉供血区脑梗死患者预后评估价值  

The relationship between pathological position of cerebrovascul diseases, hemorrhage doses and electroen-cephalogram wave

作　　者：苗青[1] 张干[1] 宫鑫[1] 周媛[1] 孙静[1] 

机构地区：[1]蚌埠市第三人民医院神经内科, 安徽省蚌埠233000

出　　处：《中国基层医药》2014年第7期1008-1009,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探讨连续脑电监测对大脑中动脉供血区脑梗死患者预后判断的准确性。方法40例大脑中动脉供血区脑梗死患者根据病情进展与否分为恶性组（14例）和良性组（26例），入院24 h内进行连续床旁脑电监测，分析脑电图变化与恶性程度的相关性。结果恶性组患者连续床旁脑电图（ CEEG ）异常检出率为85．71％（12／14），与良性组[65．38％（17／26）]差异有统计学意义（χ2＝10．405，P＝0．001）。恶性组脑电图呈重度异常者4例，入院第2天昏迷，中度异常者6例，轻度异常者2例，正常者2例。结论早期连续脑电监测对大脑中动脉供血区脑梗死患者的预后评估具有一定参考价值。Objective To investigate the accuracy of predicting middle cerebral artery infaction with contin -ue electroencephalograph .Methods 40 cases with middle cerebral artery infaction were divided into malignant groups（14） and binigan groups（26）.They were all with continued beside electroencephalograph within 24 hours after admission.Results Abnormal CEEG rate in malignant groups [85.71%（12/14）]was significantly higher than that in binigan groups[65.38%（17/26）]（χ2 =10.405,P=0.001）.In malignant groups,severe abnormal CEEG was seen in 4 cases developed coma at the second day of admission ,moderate abnormal CEEG was found in 6 cases,slight abnormal CEEG was detected in 2 cases,normal CEEG was detected in 2 cases.Conclusion Early CEEG has a cer-tain value for predicting middle cerebral artery infaction .

关 键 词：脑梗死 脑动脉 脑电描记术 

分 类 号：R743.3[医药卫生—神经病学与精神病学]