癫痫相关穴位电极记录伴中央-颞区棘波的小儿良性癫痫患儿棘波的特点分析  

Characteristics of spike waves in children with BECTS by using epilepsy-related acupoint electrodes to record spike waves in centrotemporal region

作　　者：路岩莉[1] 王媛媛 戎萍[1] 刘璇[1] LU Yanli;WANG Yuanyuan;RONG Ping;LIU Xuan(Depart-ment of Pediatric,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300193,China;不详)

机构地区：[1]天津中医药大学第一附属医院儿科,国家中医针灸临床医学研究中心,天津300193 [2]北京中医药大学深圳医院(龙岗)儿科,广东深圳518116

出　　处：《实用医学杂志》2022年第15期1942-1947,共6页The Journal of Practical Medicine

基　　金：国家青年科学基金项目(编号:81503612);天津中医药大学第一附属医院“拓新工程”基金科研课题(编号:院201932)。

摘　　要：目的选用癫痫相关头部穴位作为脑电图(EEG)电极安放位置观察记录伴中央-颞区棘波的小儿良性癫痫(BECTs)患儿发作间期EEG棘波的变化特点,并与传统方法比较。方法选择BECTs患儿30例,先采用国际10-20系统电极安放方式记录作为对照组,后采用选定穴位进行电极安放并记录作为穴位组,记录两组EEG变化特点并分析。结果穴位组EEG可记录到α节律及睡眠周期变化。两组记录的α节律、顶区棘波波幅最大值差异无统计学意义(P<0.05)。清醒期穴位组棘波的波幅较对照组更高(P<0.05),而睡眠期穴位组棘波波幅均值大于对照组,但差异无统计学意义(P>0.05)。清醒期棘波波幅约78.9%的最高位置为率谷穴,而睡眠期约为73.3%。结论选用癫痫相关头部穴位作为电极安放位置记录BECTs患儿EEG,可显示其特征性表现;棘波多数以率谷穴波幅最高。Objective To explore the characteristics of spike waves in children with benign epilepsy with central-temporal spikes(BECTS)by comparing the method of using epilepsy-related acupoint electrodes with the traditional method to record spike waves in centrotemporal region.Methods Thirty children with BECTs were selected.The spike waves were recorded first by placing the electrodes according to the international 10-20 system and then by placing the electrodes on epilepsy-related acupoints.The two groups of data were analyzed.Results The changes inαrhythm and sleep cycle were recorded in the acupoint group.There was no significant difference between the recordedαrhythm as well as the maximum amplitude of spike waves in the apical area between the two groups(P>0.05).During awakeness,the amplitude of spike waves in the acupoint group was significantly higher than that in the control group(P<0.05),while during sleeping the average amplitude of spike waves in the sleep point group was insignificantly higher than that in the control group(P>0.05).The peak of spike wave amplitude of(about 78.9%)during awakeness was recorded at the acupoint of Shuai Gu,while it was about 73.3%during sleeping.Conclusion The epilepsy-related scalp acpoints used as positions for electrode placement to record EEG of BECTs children can show their characteristic features.Most spike waves have the highest amplitude at the acupint of Shuai Gu.

关 键 词：穴位 伴中央-颞区棘波的小儿良性癫痫 脑电图 率谷穴 

分 类 号：R272.3[医药卫生—中医儿科学]