儿童精神障碍患者的脑电图回顾性分析  

Retrospective analysis of EEG of children with mental disorders

作　　者：陈良梅[1] 党云皓[1] 

机构地区：[1]西安市精神卫生中心,陕西西安710061

出　　处：《中国妇幼健康研究》2015年第2期350-352,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨儿童精神障碍患者的特点,为更好地诊断和治疗提供依据。方法采用回顾性研究,对2009年1月至2012年1月在西安市精神卫生中心住院的362例儿童精神障碍患者进行普通脑电图和24小时脑电图检查,并对结果进行分析。结果 362例患者中,普通脑电图检查正常的患者278例,占76.80%,异常的患者84例,占23.20%,异常者符合癫痫的脑电图改变;24小时脑电图检查大致正常的34例,占9.39%,异常的患者328例,占90.61%,异常者均符合癫痫的脑电图改变;24小时脑电图对癫痫患者的检出率较普通脑电图更高(x^2=330.68,P<0.05)。结论儿童精神障碍患者脑电图异常符合癫痫患者的脑电图改变,儿童精神障碍为癫痫所伴发的精神障碍。Objective To investigate the characteristics of children with mental disorders so as to provide evidence for better diagnosis and treatment.Methods A retrospective study was conducted on the data of ordinary EEG and 24-hour EEG of 362 children with mental disorders examined in the period of January 2009 to January 2012 in Xi ’ an Mental Health Center.Results Among 362 cases, 278 （76.80%） had normal EEG results and 84 （23.20%） had abnormal results.Epileptic EEG change was found in children with abnormal EEG results.Roughly normal results were found in 24-hour EEG of 34 cases （9.39%）, and abnormal results in 328 cases （90.61%）. Epileptic EEG changes were found in children with abnormal 24-hour EEG results.The detection rate of children with epilepsy revealed by 24-hour EEG was higher than that by ordinary EEG （χ^2 =330.68, P〈0.05）.Conclusion EEG of children with mental disorders is in line with EEG abnormality in patients with epilepsy.Mental disorders in children are mental disorders associated with epilepsy.

关 键 词：儿童精神障碍 普通脑电图 24小时脑电图 癫痫 

分 类 号：R746.2[医药卫生—神经病学与精神病学]