不同分型脑性瘫痪患儿的临床与视频脑电图分析  

Analyzing the relationship between different clinical subtypes of children with cerebral palsy and their video electroencephalography

作　　者：蔡淑英 李培[1] 梁国宝 李文洁 王央丹 胡恕香 彭桂兰 CAI Shuying;LI Pei;LIANG Guobao(Department of Pediatric Neurology Rehabilitation,Xiamen Maternal and Child Health Hospital/Women and Children's Hospital Affiliated to Xiamen University,Xiamen(361003),Fujian,China)

机构地区：[1]厦门市妇幼保健院/厦门大学附属妇女儿童医院儿童神经康复科,福建厦门361003

出　　处：《癫痫与神经电生理学杂志》2024年第2期87-90,共4页Journal of Epileptology and Electroneurophysiology(China)

基　　金：林巧稚科研课题(FYLQZ2020003)。

摘　　要：目的分析脑性瘫痪患儿临床不同分型与视频脑电图(V-EEG)的关系。方法回顾性分析2020-2022年厦门妇幼保健院收治的131例临床不同分型脑瘫患儿的V-EEG监测结果及临床用药情况。结果脑性瘫痪患儿V-EEG的异常检出率为44.27%,其中以痉挛型四肢瘫最高为82.35%,其次是混合型为66.67%。V-EEG背景活动异常以痉挛型四肢瘫最高为42.86%,其次是痉挛型偏瘫为19.05%。伴发癫痫率为14.50%,其中以痉挛型四肢瘫最高为47.06%,其次是混合型为33.33%。混合型脑瘫伴发癫痫患儿均使用抗癫痫药物治疗,痉挛型双瘫(64.29%)患儿未予药物治疗,余35.71%的患儿均为单药治疗。结论V-EEG异常率与儿童脑性瘫痪的临床分型有一定的关系,V-EEG异常以痉挛型四肢瘫最高,痉挛型双瘫患儿的癫痫发作容易控制。脑瘫的临床分型对共患癫痫患儿的诊治及预后有一定的价值。Objective To analyze the relationship between different clinical subtypes of children with cerebral palsy and their video electroencephalography(V-EEG).Methods Retrospective analysis was performed on V-EEG monitoring results and clinical medication use of 131 children with different types of cerebral palsy admitted to Xiamen Maternal and Child Health Hospital from 2020 to 2022.Results The detection rate of abnormal V-EEG in children with cerebral palsy was 44.27%.Spastic quadriplegia had the highest detection rate(82.35%)of abnormal V-EEG,followed by mixed type with 66.67%.The abnormal background activity of V-EEG was highest in spastic quadriplegia(42.86%),followed by spastic hemiplegia(19.05%).The rate of children accompanying epilepsy was 14.50%,among which spastic quadriplegia with the highest incidence(47.06%),followed by mixed paralysis(33.33%).The children with mixed cerebral palsy accompanied by epilepsy were treated with antiepileptic drugs,while those with spasmodic diplegia(64.29%)were not treated with medication.The remaining of children(35.71%)were treated with monotherapy.Conclusion There is a certain relationship between the rate of abnormal V-EEG and the classification of child cerebral palsy.Spastic quadriplegia was the most in V-EEG abnormalities.Epilepsy in children with spastic diplegia is easier to control.Clinical classification of cerebral palsy has certain value in diagnosis,treatment and prognosis of children with comorbid epilepsy.

关 键 词：脑性瘫痪 分型 癫痫 视频脑电图 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R741.044[医药卫生—临床医学]