常规电极脑电图检查及蝶骨电极脑电图检查联合应用于不同类型癫痫的诊断效果评价  

Evaluation of the diagnostic effect of conventional electroencephalography and sphenoid electroencephalography combined in different types of epilepsy

作　　者：王欢 WANG Huan(Department of Internal Medicine,Beijing Yangfangdian Hospital,Beijing100038,China)

机构地区：[1]北京市羊坊店医院内科,北京100038

出　　处：《中国当代医药》2021年第13期173-175,共3页China Modern Medicine

摘　　要：目的探讨常规电极脑电图检查及蝶骨电极脑电图检查联合应用于不同类型癫痫的诊断效果。方法随机选取2018年1月~2020年8月北京市羊坊店医院收治的200例癫痫患者作为研究对象,全面性癫痫患者50例,部分性癫痫患者150例,其中部分性癫痫患者包含颞叶内侧癫痫患者50例,非颞叶内侧癫痫患者100例。所有患者均采用常规电极脑电图检查及蝶骨电极脑电图检查,比较单用两种脑电图检查方式以及联合两种脑电图检查方式对不同类型癫痫患者的痫性放电检出率。结果在全面性癫痫患者诊断中,联合检查痫性放电检出率高于蝶骨电极检查,差异有统计学意义(P<0.05)。在部分性癫痫患者诊断中,联合检查痫性放电检出率高于蝶骨电极检查与常规电极检查,差异有统计学意义(P<0.05)。在颞叶内侧癫痫患者诊断中,蝶骨电极检查与联合检查痫性放电检出率高于常规电极检查,差异有统计学意义(P<0.05),联合检查与蝶骨电极检查痫性检出率比较,差异无统计学意义(P>0.05);在非颞叶内侧癫痫患者诊断中,联合检查痫性放电检出率高于蝶骨电极检查,差异有统计学意义(P<0.05)。结论蝶骨电极检查对颞叶内侧癫痫患者诊断价值较高,但对非颞叶内侧癫痫及全面性癫痫患者仍需应用蝶骨电极检查与常规电极检查联合检测,其效果更好。Objective To explore the diagnostic effect of electroencephalography(EEG)combined with conventional electroencephalography and sphenoid electroencephalography(SPE)in different types of epilepsy.Methods A total of 200 patients with epilepsy admitted to Beijing Yangfangdian Hospital from January 2018 to August 2020 were randomly selected as the research subjects,including 50 patients with general epilepsy and 150 patients with partial epilepsy,of which 50 patients with medial temporal lobe epilepsy and 100 patients with non-medial temporal lobe epilepsy were included in partial epilepsy.All patients underwent conventional EEG and SPE.The detection rate of epileptic discharge in patients with different types of epilepsy was compared by using two EEG methods alone and combining two EEG methods.Results In the diagnosis of patients with general epilepsy,the detection rate of epileptic discharge by combined examination was higher than that by sphenoid electrode examination,and the difference was statistically significant(P<0.05).In the diagnosis of patients with partial epilepsy,the detection rate of epileptic discharges by the combined examinations was higher than that of the sphenoid electrode examination,and the difference was statistically significant(P<0.05).In the diagnosis of patients with medial temporal lobe epilepsy,the epileptic discharge detection rate of sphenoid electrode examination and combined examination was higher than that of conventional electrode examination,and the difference was statistically significant(P<0.05),and there was no significant difference in the detection rate of epilepsy between the combined test and sphenoid electrode test(P>0.05).In the diagnosis of patients with non-medial temporal epilepsy,the detection rate of epileptic discharge by combined examination was higher than that by sphenoid electrode examination,and the difference was statistically significant(P<0.05).Conclusion Sphenoid electrode examination is of high diagnostic value in patients with medial temporal lobe epilepsy

关 键 词：蝶骨电极 脑电图 不同类型癫痫 诊断效果 检出率 评价 

分 类 号：R742.1[医药卫生—神经病学与精神病学]