24h动态脑电图检查在癫痫患者中的应用

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (32 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application of 24 h dynamic electroencephalogram examination in epileptic patients. Methods Retrospective analysis of clinical data of 70 patients with epilepsy (Epilepsy group) treated in our hospital from January 2014 to December 2018, a 24 hour ambulatory electroencephalogram (AEEG) examination and a conventional electroencephalogram (REEG) examination were performed respectively. At the same time, 70 non-epileptic patients were used as a control group. The results of REEG and AEEG were compared, and the AEEG results were compared between the epilepsy patients and the control group. Results The normal rate of AEEG examination was lower than that of REEG examination, and the epileptiform discharge rate and total REEG abnormality rate were higher than those of REEG examination, and the differences were statistically significant (P＜0.05); there was no statistically significant difference in the non-specific discharge rate between AEEG and REEG examination (P＞0.05). The normal rate of epilepsy group examined by AEEG was lower than that of the control group, and the epileptiform discharge rate and total abnormal rate were higher than those of the control group, the differences were statistically significant (P＜0.05); there was no statistically significant difference in the non-specific discharge rate between the control group and the epilepsy group (P＞0.05). Among all the 70 patients, a total of 39 cases (55.71%) of epileptic discharge were detected, among them, 4 cases (5.71%) appeared alone when awake, 11 cases (15.71%) appeared alone during sleep, and 24 cases (34.29%) appeared during both wakefulness and sleep, epileptic discharge rate was lower in awake than in sleep(P＜0.05). Conclusion AEEG has a better effect in dynamic monitoring and diagnosis of epilepsy patients. It can record the changes of eeg in patients under different states, which is helpful to improve the clinical diagnosis rate and reduce the rate of missed diagnosis. It is also convenient to carry and non-invasive, and has positive clinical significance.

Key words： Epilepsy 24 h dynamic electroencephalogram Routine electroencephalography Diagnosis

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XU Qi-feng
	LIU Hua-qin
	TAN Hong-yu

Cite this article:

XU Qi-feng,LIU Hua-qin,TAN Hong-yu. Application of 24 h Dynamic EEG Examination in Epilepsy Patients[J]. 中国当代医药, 2020, 27(25): 78-80.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I25/78

[1]	赵广珍.数字脑电图与动态脑电图在癫痫病临床诊断中的对比分析[J].青海医药杂志，2016，46（4）：43-44.
[2]	冯灵，鲁建英，王云慧，等.标准化管理在视频脑电图监测中的应用及效果评价[J].华西医学，2019，34（6）：653-658.
[3]	张忠玺，余秀菊，周鹏，等.脑电图在癫痫患者动态监测诊断中的应用[J].按摩与康复医学，2019，10（6）：42-43.
[4]	吴小波，陈钊，刘伟，等.动态脑电图和视频脑电图对小儿非惊厥性发作性癫痫诊断中的临床价值[J].河北医学，2019，25（7）：1205-1208.
[5]	陈青，张敬军.脑影像学检查在癫痫诊治中的应用[J].泰山医学院学报，2015，35（7）：836-840.
[6]	胡金蒙，李红，张丽军.不同脑电图检查方法用于颞叶癫痫诊断的效果比较[J].中国基层医药，2018，25（23）：3067-3070.
[7]	秦晓云，窦长武，张占普，等.动态脑电图监测癫痫患者的临床意义[J].西部医学，2016，28（3）：358-361.
[8]	宋红伟，李晓丽，李世学.动态脑电图在60 例癫痫患者诊断中的应用分析[J].中国实用神经疾病杂志，2014，17（5）：90-91.
[9]	张静，魏红艳，左艳芳，等.抗癫痫药和脑电图放电指数对癫痫患儿认知功能的影响[J].临床和实验医学杂志，2019，18（15）：1625-1628.
[10]	陈秀英，张爱萍.动态脑电图监测对癫痫患者的临床诊断价值[J].癫痫与神经电生理学杂志，2013，22（1）：38-40.
[11]	游学炼，吴永胜.动态脑电图在脑梗死继发癫痫患者诊断中的应用价值[J].中外医学研究，2015，13（36）：64-65.
[12]	毛珂，王新军.脑电图动态监测对颅脑外伤后癫痫的诊断价值[J].中国实用医刊，2018，45（5）：1-3.
[13]	夏建华，朱认真，焦慧娟，等.部分性癫痫与短暂性脑缺血发作的脑电图表现[J].中华老年心脑血管病杂志，2015，17（6）：628-629.
[14]	余鸽鸽，王玮，高玉霞，等.脑电图连续监测对脑卒中后癫痫发作的诊断价值[J].医学新知杂志，2019，29（1）：31-32.
[15]	李燕，刘学玲，孙益贝.睡眠监测脑电图在癫痫患者中诊断价值分析[J].兵团医学，2018，（1）：23-24.