应用24 h动态脑电图检查小儿癫痫及其临床特征分析  

Analysis of 24 h Ambulatory EEG in Children with Epilepsy and Its Clinical Characteristics

作　　者：黄淑来[1] 吴端纯 HUANG Shulai;WU Duanchun(Quanzhou Third Hospital,Quanzhou 362000,China)

机构地区：[1]泉州市第三医院,福建泉州362000

出　　处：《中外医学研究》2021年第31期89-92,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析24 h动态脑电图(24 hours ambulatory electroencephalogram,24 h AEEG)检查小儿癫痫及其临床特征。方法:择取本院2017年10月-2019年10月接收的疑似癫痫患儿180例,予以24 h AEEG监测,记录患儿的痫样放电情况、放点特征、癫痫所属类型及病灶的定位位置。结果:(1)180例疑似癫痫患儿中,108例监测存在痫样放电情况,其中28例为清醒阶段痫样放电;睡眠阶段痫样放电70例,睡眠阶段及清醒阶段均出现痫样放电,占比9.26%;(2)108例测定到痫样放电的疑似患儿中,因脑梗死、颅内细菌感染、颅内出血等器质性病变导致的痫样放电55.56%,代谢疾病发生痫样放电18.52%;因感染发生痫样放电14.81%,其余类型11.11%;(3)180例疑似癫痫患儿中,98例测定到同步的临床反应中有69例同时监测出痫样放电状态,可诊断为癫痫;其余29例同步的临床反应中未测定到痫样放电,疑似癫痫,需进行多次测定即可确诊;(4)根据同步临床反应、测定结果,69例确诊为癫痫。结论:熟练掌握小儿癫痫24 h动态脑电图临床特征,能更好地提升对癫痫的认知,精准进行癫痫的分型和病灶定位。Objective:To analyze the value of 24 hours ambulatory electroencephalogram(24 h AEEG)in detecting epilepsy and its clinical characteristics in children.Method:A total of 180 children with suspected epilepsy received in our hospital from October 2017 to October 2019 were monitored by 24 h AEEG,and the epileptiform discharge,discharge point characteristics,type of epilepsy and location of lesions were recorded.Result:(1)Among the 180 children with suspected epilepsy,108 cases had epileptiform discharges,of which 28 cases were epileptiform discharges in conscious stage;epileptiform discharges occurred in 70 cases during sleep,both stages of epileptiform discharge was accounting for 9.26%.(2)Among 108 suspected children with epileptiform discharges,55.56%were caused by organic diseases such as cerebral infarction,intracranial bacterial infection and intracranial hemorrhage,and 18.52%were caused by metabolic diseases;epileptiform discharge due to infection was 14.81%,and the other types were 11.11%.(3)Among 180 children with suspected epilepsy,98 cases detected synchronous clinical reactions,and 69 cases monitored epileptiform discharge state at the same time,which can be diagnosed as epilepsy;Epileptiform discharge was not detected in the other 29 cases of synchronous clinical reaction,which was suspected of epilepsy and could be diagnosed by multiple determinations.(4)According to the results of simultaneous clinical reaction and measurement,69 cases were diagnosed as epilepsy.Conclusion:Mastering the clinical characteristics of 24 h AEEG in children with epilepsy can better improve the cognition of epilepsy and accurately classify and locate the focus of epilepsy.

关 键 词：24H动态脑电图 小儿癫痫 临床特征 病灶定位 诊断价值 

分 类 号：R742.1[医药卫生—神经病学与精神病学]