脑电图对偏头痛和头痛性癫痫患者的诊断价值研究  

Diagnostic value of electroencephalogram in patients with migraine and headache epilepsy

作　　者：高慧[1] 宋元清[1] GAO Hui;SONG Yuan-qing(Department of Neurology,First People's Hospital of Jiujiang,Jiujiang 332000,China)

机构地区：[1]九江市第一人民医院神经内科,332000

出　　处：《中国实用医药》2022年第25期113-115,共3页China Practical Medicine

摘　　要：目的 探讨脑电图对偏头痛和头痛性癫痫患者的诊断价值。方法 选取48例偏头痛和32例头痛性癫痫患者作为观察组,另选取80例健康体检者作为对照组。两组均行脑电图检查。比较两组脑电图检查结果、观察组中偏头痛和头痛性癫痫患者的脑电图异常率以及间断性θ节律发生率。结果 观察组脑电图异常率47.50%高于对照组的6.25%,差异具有统计学意义(P<0.05)。观察组中头痛性癫痫患者的脑电图异常率93.78%、发作期间断性θ节律发生率84.38%均明显高于偏头痛患者的16.67%、52.08%,差异均具有统计学意义(P<0.05);偏头痛和头痛性癫痫患者发作间期的间断性θ节律发生率比较,差异无统计学意义(P>0.05)。结论 脑电图对偏头痛和头痛性癫痫患者的诊断效果显著,能有效鉴别诊断偏头痛和头痛性癫痫,具有重要的诊断价值。Objective To discuss the diagnostic value of electroencephalogram in patients with migraine and headache epilepsy. Methods 48 cases of migraine and 32 cases of headache epilepsy were selected as the observation group, and 80 healthy subjects were selected as the control group. Both groups were examined by electroencephalogram. Comparison was made on electroencephalogram results between the two groups,and the abnormal rate of electroencephalogram and the incidence of intermittent θ rhythm in patients with migraine and headache epilepsy in the observation group. Results The abnormal rate of electroencephalogram in the observation group was 47.50%, which was higher than 6.25% in the control group, and the difference was statistically significant(P<0.05). In the observation group, the abnormal rate of electroencephalogram of patients with epilepsy with headache was 93.78%, and the incidence rate of intermittent θ rhythm during seizures was 84.38%, which were significantly higher than 16.67% and 52.08% of patients with migraine, and the differences were statistically significant(P<0.05). There was no statistically significant difference in the incidence of intermittent θ rhythm between migraine and headache epilepsy patients(P>0.05). Conclusion Electroencephalogram is effective in the diagnosis of patients with migraine and headache epilepsy. It can effectively differentiate migraine and headache epilepsy and has important diagnostic value.

关 键 词：偏头痛 头痛性癫痫 脑电图 诊断价值 

分 类 号：R742.1[医药卫生—神经病学与精神病学] R747.2[医药卫生—临床医学]