基于心率变异性对不同癫痫患者自主神经功能差异的研究进展  

Recent Advance of Differences Autonomic Nerve Function in Different Epilepsy Patients Based on Heart Rate Variability

作　　者：陈娜 李沛[2] 

机构地区：[1]青海大学医学研究生院,青海 西宁 [2]青海省人民医院神经内科,青海 西宁

出　　处：《临床医学进展》2022年第7期6097-6105,共9页Advances in Clinical Medicine

摘　　要：癫痫是一种由于大脑神经元异常放电引起的发作性疾病,除了脑电图之外,研究者们试图通过使用心率变异性参数来预测癫痫发作｡在癫痫发作期间,中枢神经系统受影响可导致交感神经和副交感神经出现冲突或抑制改变｡由于性别差异、昼夜节律差异、发作类型不同、发作部位不同,癫痫患者的心率变异性及自主神经功能障碍可能不同,本文就其在上述不同方面的比较及其对癫痫发作的预测价值等方面进行综述。Epilepsy is a paroxysmal disease caused by abnormal discharge of brain neurons. In addition to EEG, researchers try to predict seizures by using heart rate variability parameters. During an epi-leptic seizure, the central nervous system may be affected to cause a conflict or inhibition between the sympathetic and parasympathetic nerves. Because of sex difference, circadian rhythm differ-ence, seizure type and seizure site, the heart rate variability and autonomic nervous dysfunction of epilepsy patients may be different. In this paper, the comparison of the above aspects and its pre-dictive value for epileptic seizures are reviewed.

关 键 词：心率变异性 自主神经功能障碍 癫痫猝死 心因性非癫痫性发作 癫痫预测 

分 类 号：R742.1[医药卫生—神经病学与精神病学]