视频脑电图在儿童惊厥中的应用价值  

Application value of video electroencephalography in children with seizures

作　　者：程锦丽 戴峥嵘 缪锐 CHENG Jinli;DAI Zhengrong;MIAO Rui(Department of Pediatric,Jingdezhen Third People's Hospital,Jingdezhen,Jiangxi,333000,China)

机构地区：[1]景德镇市第三人民医院儿科,江西景德镇333000

出　　处：《当代医学》2022年第34期6-9,共4页Contemporary Medicine

基　　金：景德镇市科技计划项目(20201SFZC023)。

摘　　要：目的探究视频脑电图(VEEG)在儿童惊厥中的应用价值。方法回顾性分析2019年3月至2021年2月本院接收的60例惊厥患儿的临床资料,根据脑电图是否异常分为正常组和异常组,每组30例。两组均行体格检查及VEEG检查,比较两组发作次数、持续时间、有无家族史、VEEG监测各时相痫样放电率、惊厥发作的脑电图特点占比及不同VEEG特征的预后情况。结果异常组反复发作次数、存在家族史占比均高于正常组,发病持续时间长于正常组,差异有统计学意义(P<0.05)。两组清醒期和睡眠与清醒兼有时痫样放电率比较差异无统计学意义;异常组睡眠期痫样放电率为36.67%,明显高于正常组的6.67%,差异有统计学意义(P<0.05)。异常组发作伴临床症状发生率、局部发作率、双侧扩散部位占比均明显高于正常组,且单侧扩散部位占比明显低于正常组,差异有统计学意义(P<0.05)。VEEG异常类型有背景活动异常6例,阵发性异常16例,成熟性异常5例及复合异常3例;3个月后随访复诊,VEEG异常患者预后不良率为23.33%,明显高于VEEG正常的3.33%,差异有统计学意义(P<0.05)。结论应用VEEG监测惊厥患儿脑功能,可有效鉴别非癫痫发作性疾病,在儿童惊厥预后判断方面具良好预测价值,值得临床推广应用。Objective To explore the application value of video electroencephalography(VEEG)in children with seizures.Methods The clinical data of 60 children with seizures received in our hospital from March 2019 to February 2021 were retrospectively analyzed,and they were divided into normal group and abnormal group according to whether the electroencephalogram was abnormal,with 30 cases in each group.Both groups underwent physical examination andVEEG examination,the number of attacks,duration,family history,epileptic discharge rate at each stage of VEEGmonitoring,the proportion of electroencephalogram characteristics of recurrent attacks and the prognosis of different VEEG characteristics were compared between the two groups.Results The recurrent attack and the proportion of family history in abnormal group were higher than those in normal group,and the duration of onset was longer than that in normal group,the differences were statistically significant(P<0.05).There was no significant difference between the two groups in wakefulness and epileptic discharge rate during sleep and wakefulness;the epileptic discharge rate in abnormal group was 36.67%,which was significantly higher than 6.67%in normal group,and the difference was statistically significant(P<0.05).The incidence of clinical symptoms,local attack rate and proportion of bilateral diffusion site in abnormal group were significantly higher than those in normal group,and the proportion of unilateral diffusion site was significantly lower than that in normal group,the differences were statistically significant(P<0.05).VEEG abnormalities included background activity abnormalities in 6 cases,paroxysmal abnormalities in 16 cases,maturation abnormalities in 5 cases and complex abnormalities in 3 cases.After 3 months of follow-up visit,the prognosis in abnormal VEEG was 23.33%,which was significantly higher than 3.33%in normal VEEG,the difference was statistically significant(P<0.05).Conclusion VEEG monitoring the brain function of children with seizures can effectively i

关 键 词：儿童惊厥 视频脑电图 痫样放电 

分 类 号：R720.597[医药卫生—急诊医学]