剥夺睡眠脑电图对儿童精神运动性癫痫的诊断价值及影响因素  

The diagnostic value of deprivation of sleep EEG and its influencing factors on children's psychomotor epilepsy

作　　者：候蕴祈 欧阳基鹏 游文霞 梁艳玲 钟剑平 

机构地区：[1]广东佛山市顺德区第一人民医院神经内科,佛山528300

出　　处：《中国实用神经疾病杂志》2015年第7期27-28,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨剥夺睡眠脑电图(EEG)在小儿精神运动性癫痫(psychomotor epilepsy,PE)中的临床应用价值及相关影响因素。方法 2012-01—2014-01选取行常规性EEG检查正常的158例PE患儿行剥夺性EEG检查,根据检查结果将PE患儿分为剥夺睡眠EEG阴性组102例以及阳性组56例,分析2组患儿临床资料,并采用Logistic多因素分析影响剥夺睡眠EEG诊断阳性率的相关影响因素。结果剥夺睡眠EEG阳性组癫痫发作频率及有发展诱因的比率低于阴性组,而缺氧窒息史比率高于阴性组,发作时间较长,差异有统计学意义(P<0.05)。经Logistic多因素分析显示,发作时间、发作诱因、发作频率是影响剥夺睡眠EEG阳性率的独立危险因素。结论对PE患儿应用剥夺睡眠EEG诊断可提高阳性检查率,患儿癫痫发作时间、发作诱因及发作频率可影响剥夺睡眠EEG诊断阳性率。Objective To investigate the clinical value and related factors of sleep deprivation electroencephalogram （EEG） in children with psychomotor epilepsy （PE）. Methods One hundred and fifty‐eight cases of normal children underwent PE deprivation EEG inspection were selected from January 2012 to January 2014. The PE children were divided into 102 cases of sleep deprivation EEG negative and 46 cases of positive group ,clinical data of the two groups were comparatively analyzed ,and the related factors affecting the positive rate of diagnosis of sleep deprivation EEG were analyzed by multi‐factor Logistic. Re‐sults Sleep deprivation EEG seizure frequency and positive group had developed a ratio of less than negative incentives ,and hypoxia asphyxia ratio was higher than the negative group ,the onset of a long time ,there were significant differences （P〈0.05）. Logistic multivariate analysis showed that the onset time of onset of incentives ,seizure frequency are independent risk factors for sleep deprivation EEG positive rate. Conclusion PE EEG diagnosis in children with sleep deprivation can increase the rate of positive test ,children with epilepsy onset ,seizure incentives and deprived of sleep EEG seizure frequency may affect the diagnostic yield.

关 键 词：剥夺睡眠脑电图 儿童 精神运动性癫痫 

分 类 号：R742.1[医药卫生—神经病学与精神病学]