118例小儿热性惊厥的临床与动态脑电图分析

为探讨24小时脑电图(AEEG)监测对小儿热性惊厥的诊断意义,对118例热性惊厥患儿进行24小时动态脑电监测。结果,AEEG总异常率为40.7％,痫样波检出率6.8％。年龄≤2岁与>2岁组、体温>38.5C组与≤38.5C组、首发组与反复发作组比较,后者AEEG异常率明显高于前者(P<0.05～0.01)。提示,发作次数越多AEEG异常率越高。对AEEG异常和有痫样放电的患儿均应给以抗癫痫药物治疗。

Analysis of 24-hour AEEG in 118 Patients with Febrile Convulsion

To exploe the significance of 24 - hour AEEG in the diagnosis and differential diagnosis of febrile convulsion in children,twenty-four -hour AEEG monitoring were performed on 118 children patents with febrile convulsion It was found that the total abnormality rate of AEEG was 40. 7% and the detecting rate of epilcptiform discharges was 6. 8%. AEEG abnormality rate in children with the recurrent and body temperature below 38. 5 C and above two years was significantly higher than that in children with the initial and body temperature above 38. 5 C and age under two years (P<10. 05-0. 01). Conclusions The more frequent recurrent attacks was,the higher the abnormal rate of AEEG seemed to be. Antiepileptic drugs should be Administered in children with abnormal AEEG and epileptic discharges.