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作 者:于经旺 YU Jing-wang(Tianjin Jinghai District Hospital,Tianjin 301600)
机构地区:[1]天津市静海区医院,天津301600
出 处:《中国医疗器械信息》2020年第11期76-76,159,共2页China Medical Device Information
摘 要:目的:探讨动态脑电图检查在急性脑梗死继发癫痫中的临床应用效果。方法:观察对象为2017年10月~2019年5月本院收治的95例急性脑梗死患者。在患者入院后于48h内对患者开展动态脑电图监测,观察脑电图癫痫样异常放电患者数量以及临床癫痫发作患者数量。结果:这95例急性脑梗死患者中有66例患者发生癫痫样异常放电,其中临床有继发癫痫表现的为36(54.55%)例,无继发癫痫表现的有30(45.45%)例;有29例患者无癫痫样异常放电,其中临床有继发癫痫表现的为7(24.14%)例,无继发癫痫表现的有22(75.86%)例,组间差异具有统计学意义(P<0.05)。患者梗死部位为皮层的共有42例,其中临床有癫痫发作的为29(69.05%)例,无癫痫发作的为13(30.95%)例;患者梗死部位为皮层下的共有53例,其中临床有癫痫发作的为14(26.42%)例,无癫痫发作的为39(73.58%)例。组间差异具有统计学意义(P<0.05)。结论:动态脑电图检查癫痫样异常放电与急性脑梗死患者继发癫痫具有一定相关性,皮层梗死患者更容易发生癫痫症状。Objective:To explore the clinical effect of dynamic electroencephalogram in epilepsy secondary to acute cerebral infarction.Methods:95 patients with acute cerebral infarction were enrolled in our hospital from October 2017 to May 2019.Dynamic EEG monitoring was carried out within 48 hours after the patient was admitted to the hospital.The number of epileptic abnormal discharge patients and clinical epileptic patients were observed.Results:Among the 95 patients with acute cerebral infarction,66 had epileptiform abnormal discharge,36(54.55%)with secondary epilepsy and 30(45.45%)without secondary epilepsy,29 had no epileptiform abnormal discharge,7(24.14%)with secondary epilepsy and 22(75.86%)without secondary epilepsy.The difference was statistically significant(P<0.05).There were 42 patients with cortical infarction,29(69.05%)with clinical secondary epilepsy and 13(30.95%)without secondary epilepsy;53 patients with subcortical infarction,14(26.42%)with clinical secondary epilepsy and 39(73.58%)without secondary epilepsy.The difference was statistically significant(P<0.05).Conclusion:There is a certain correlation between abnormal epileptiform discharge and secondary epilepsy in patients with acute cerebral infarction.Patients with cortical infarction are more likely to have epilepsy symptoms.
分 类 号:TH772[机械工程—仪器科学与技术]
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