儿童脓毒症相关性脑病30例脑电图特征及其对评估早期病情的价值

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Abstract Objectives To explore the electroencephalogram（EEG）characteristics of children with sepsis associated encephalopathy and its value to the evaluation of early-stage condition.Methods 30 cases of children with sepsis associated encephalopathy in our hospital from January 2014 to October 2015 were monitored using video-electroencephalogram（VEEG）to study the children′s EEG characteristics.The multiple organ function of the enrolled children was evaluated，and the children with sepsis associated encephalopathy were divided into the early-stage group and the advanced-stage group.Statistical analysis was performed on the EEG manifestation of the two groups.Results The EEG manifestation of children with sepsis associated encephalopathy showed that 7 cases were normal，the basic rhythm in the background activity during the awaking period was slower than that of the matched children，11 cases had excessive θ-rhythm，8 cases had δ-rhythm，2 cases were suppression or burst-suppression，the physiological sleep architecture existed，the epileptic waves occurred occasionally during the sleep period with no nonconvulsive status epilepticus.The same EEG findings of 30 patients with early and late sepsis associated encephalopathy were statistically analyzed，the results showed that the occurrence rate of normal status and excessive δ-rhythm in the EEG characteristics of earlystage group was higher than that in the EEG characteristics of the advanced-stage group，the occurrence rate of θrhythm and suppression or burst-suppression in the EEG characteristics of the advanced-stage group was higher than that in the EEG characteristics of the early-stage group，with significant difference（P＜0.05）.Conclusion The EEG characteristics of children with sepsis associated encephalopathy exhibit no specificity.The EEG manifestations of sepsis associated encephalopathy in the early and the advanced stages show statistically significant difference.

Key words： Sepsis associated encephalopathy Children Electroencephalogram

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	OUYANG Jie-ming

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OUYANG Jie-ming. Electroencephalogram characteristics in 30 cases of children with sepsis associated encephalopathy and its value to the evaluation of early-stage condition[J]. 中国当代医药, 2016, 23(17): 78-80转83.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I17/78

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