动态脑电图与常规脑电图应用于病毒性脑炎诊断的效果分析  

Application Value of Ambulatory EEG and Routine EEG in Diagnosis of Viral Encephalitis

作　　者：崔虹[1] 杨静[2] 郭武玲 郭树梅[1] 孙剑[1] 弓汶钰 薛瑞芳 

机构地区：[1]榆林市第一医院脑电图室,陕西榆林719000 [2]西京医院神经内科脑电监测中心,陕西西安710032 [3]西京医院小儿科脑电图室,陕西西安710032 [4]神木县第二人民医院脑电图室,陕西榆林719300

出　　处：《现代生物医学进展》2017年第13期2553-2555,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨动态脑电图与常规脑电图应用于病毒性脑炎的应用价值。方法:选取150例病毒性脑炎患者,随机分为两组,每组各75例,常规脑电图(REEG)组采用常规脑电图检查,动态脑电图(AEEG)组采用动态脑电图检查;观察并记录脑电图异常率,不同程度病情脑电图异常率的例数,评价动态脑电图与常规脑电图对病毒性脑炎的检测灵敏度和准确度。结果:AEEG组检出的脑电图异常率明显高于REEG组(P<0.05)。不同程度病情脑电图检出的患者比例,两组相比,差异没有统计学意义(F=-0.085,P>0.05)。REEG组中,轻度与中度病毒性脑炎检出率相比,差异没有统计学意义(P>0.05),中度与重度病毒性脑炎检出率相比,差异没有统计学意义(P>0.05),重度病毒性脑炎检出率明显高于轻度(P<0.05)。AEEG组中,轻度与中度病毒性脑炎检出率相比,差异没有统计学意义(P>0.05),重度病毒性脑炎检出率明显高于中度和轻度(P<0.05),AEEG组重度病毒性脑炎检出率明显高于REEG组(P<0.05)。结论:动态脑电图作为一种无创性检查,对于病毒性脑炎具有极好的检出率,灵敏度高,适用于病毒性脑膜炎的早期辅助诊断。Objective：To discuss the application value of ambulatory electroencephalogram （AEEG）,and routine electroencephalogram （REEG） in the diagnosis of viral encephalitis.Methods：150 patients with viral encephalitis were selected and randomly divided into two groups.The REEG group （75 cases） was given routine EEG to diagnose,and the AEEG group （75 cases） was given ambulatory EEG to diagnose.The application value of ambulatory EGG and routine EEG in diagnosis of viral encephalitis was evaluated by the abnormal rate of EEG,the number of cases with abnormal EGG in diagnosis of viral encephalitis in different degree.Results：The abnormal rate of EGG of the AEEG group was higher than that of the REEG group （P〈0.05）.The proportion of patients through EEG had no statis-tical significance in the diagnosis of viral encephalitis in different degree between two groups （F=-0.085,P〉0.05）.In REEG group,there were no statistical significance in the detection rate of the mild and moderate viral encephalitis （P〉0.05）,and there were no statistical significance in the detection rate of moderate and severe viral encephalitis （P〉0.05）,but the detection rate for the severe viral encephalitis was higher than that of mild viral encephalitis （P〈0.05）.In AEEG group,there were no statistical significance in the detection rate of the mild and moderate viral encephalitis （P〉0.05）,but the detection rate for the severe viral encephalitis was higher than that of mild and moderate viral encephalitis （P〈0.05）.The detection rate of severe viral encephalitis in AEEG group was higher than that of the REEG group（P〈0.05）.Conclusions：The ambulatory EEG was a non-invasive examination with excellent detection rate and high sensitivity on the detection of viral encephalitis,so it is suitable for the early diagnosis of viral encephalitis.

关 键 词：常规脑电图 动态脑电图 病毒性脑炎 检出率 异常放电 

分 类 号：R512.3[医药卫生—内科学] R741.044[医药卫生—临床医学]