动态脑电图检查在急性脑梗死继发癫痫中的应用评价  

The evaluation of dynamic electroencephalogram in the secondary epilepsy of acute cerebral infarction

作　　者：宋冠杰 王路[1] SONG Guan-jie;WANG Lu(The People′s Hospital of Baodi District,Tianjin,Tianjin 301800,China)

机构地区：[1]天津市宝坻区人民医院

出　　处：《吉林医学》2020年第1期45-47,共3页Jilin Medical Journal

摘　　要：目的:评价动态脑电图检查异常与急性脑梗死继发癫痫之间的相关性。方法:随机收集急性脑梗死患者102例,在入院48 h内行动态脑电图监测,记录脑电图结果,分析其与脑梗死后继发癫痫的相关性。结果:在102例急性脑梗死患者中,有71例表现为癫痫样异常放电,其中临床表现为癫痫发作38例,占53.52%,未发生癫痫发作33例,占46.48%,差异有统计学意义(P<0.05);急性脑梗死患者中皮层梗死48例,其中有癫痫发作30例,占62.50%,皮层下梗死54例,其中癫痫发作16例,占29.63%,差异有统计学意义(P<0.05)。结论:急性脑梗死患者动态脑电图结果提示癫痫样异常放电与梗死后继发癫痫存在相关性,皮层梗死是梗死后继发性癫痫的危险因素,需密切关注。Objective To evaluate the correlation between dynamic electroencephalogram examination and acute cerebral infarction secondary epilepsy.Method 102 patients with acute cerebral infarction were selected,48 hours after admission adept dynamic eeg monitoring,recording EEG results,analyze its correlation with secondary epilepsy after cerebral infarction.Results In 102 cases of acute cerebral infarction patients,there were 71 cases of epilepsy,abnormal discharge,including clinical manifestations as seizures,38 cases(53.52%),no seizures in 33 cases,accounted for 46.48%,the difference was statistically significant(P<0.05);Acute cerebral infarction in patients with cortical infarction,48 cases,including 30 cases of epileptic seizures(62.50%),54 cases of subcortical infarction,seizures of 16 cases,accounted for 29.63%,the difference was statisticaly significant(P<0.05).Conclusion Dynamic electroencephalogram in patients with acute cerebral infarction results suggest epileptic sample abnormal discharge correlation with secondary epilepsy after infarction,cortex infarction is a risk factor for secondary epilepsy after infarction,need to pay close attention to.

关 键 词：急性脑梗死 癫痫 动态脑电图 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R742.1[医药卫生—临床医学]