V-EEG联合CT在癫痫性精神障碍患者诊断中的应用  

The value of V-EEG combined with CT in the diagnosis of epileptic mental disorders and its risk factors

作　　者：于丽 王磊 杨现奎 YU Li;WANG Lei;YANG Xiankui(CT Room,General Hospital of Henan Hebi Coal Industry(Group)Co.,Ltd.,Hebi 458030,China)

机构地区：[1]河南鹤壁煤业(集团)有限责任公司总医院CT室,鹤壁458030

出　　处：《国际精神病学杂志》2021年第5期843-846,共4页Journal Of International Psychiatry

摘　　要：目的研究视频脑电图(V-EEG)联合CT在癫痫性精神障碍诊断中的效能及其患病的危险因素。方法本研究以2017年6月~2017年12月期间在我院进行诊断并治疗的60例癫痫性精神障碍患者作为研究对象;另选取同期收治的60例癫痫未合并精神障碍患者作为对照组,对所有入组研究对象均进行V-EEG以及CT检查。比较两组患者的V-EEG结果、各脑区的CT值以及脑白质密度、各个脑室的宽度之间的差异,分析V-EEG联合CT对癫痫性精神障碍患者的诊断效能,探讨癫痫性精神障碍的危险因素。结果观察组患者的单侧放电率显著高于对照组;观察组患者的额叶、顶叶、颞叶、枕叶以及脑白质密度CT值显著低于对照组;观察组患者的双侧脑室的前角、第三脑室、脑沟宽度显著高于对照组(P<0.05);两组患者的第四脑室、侧裂池宽度之间的差异不存在统计学意义(P>0.05);V-EEG联合CT对癫痫性精神障碍患者的诊断特异性高;多因素分析显示,低氧血症、低血压、低血钠、低血钙、低血镁均是造成患者出现癫痫性精神障碍的危险因素。结论V-EEG联合CT对于癫痫性精神障碍诊断具有较高的价值。Objective To study the value of V-EEG combined with CT in the diagnosis of epileptic mental disorders and its risk factors.Methods 60 patients with epileptic mental disorders patients in our hospital from June 2017 to December 2017 were selected as the research objects;another 60 epilepsy patients without mental disorders were selected as the control group.The V-EEG and CT examination were taken for all the enrolled subjects.The results of V-EEG,CT value of each brain area,white matter density and width of each ventricle were compared between the two groups.The diagnostic efficacy of V-EEG combined with CT in patients with an epileptic mental disorder was analyzed,and the risk factors of epileptic mental disorder were studied.Results The unilateral discharge rate of the observation group was significantly higher than that of the control group;the CT values of the frontal lobe,parietal lobe,temporal lobe,occipital lobe and brain white matter density in the observation group were significantly lower than that of the control group;the width of anterior angle,third ventricle and sulcus of bilateral ventriculus in the observation group was significantly higher than that of the control group(P<0.05).The difference between the width of the fourth ventricle and lateral fissure pool of the two groups was not statistically significant(P>0.05).The diagnostic specificity of V-EEG combined with CT was significantly higher than that of the control group;through multivariate analysis,hypoxemia and hypotension were significantly higher than those in the control group Low blood sodium,low calcium and low blood magnesium are the risk factors of epileptic mental disorder.Conclusion V-EEG combined with CT plays an important role in the diagnosis of epileptic mental disorders.

关 键 词：V-EEG CT 癫痫性精神障碍 危险因素 

分 类 号：R749.17[医药卫生—神经病学与精神病学]