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动态脑电图监测对小儿癫癎诊断的意义
引用本文:孔峰,臧玉萍,李靖婕,成春莲,陈心宇. 动态脑电图监测对小儿癫癎诊断的意义[J]. 临床神经电生理学杂志, 1999, 0(4)
作者姓名:孔峰  臧玉萍  李靖婕  成春莲  陈心宇
作者单位:河南省郑州市儿童医院脑电图室!郑州450053
摘    要:目的:探索24 h 动态脑电图对小儿癫癎诊断和鉴别诊断的意义。方法:对125 例临床诊断为癫癎及可疑癫癎儿童进行24 h 动态脑电图检查。结果:脑电图总异常率为62-3 % ,癫癎组异常率77 % ,癎样波检出率74-7 % ,可疑癫癎组异常率31-6 % ,癎样波检出率18-4 % 。两组之间异常率和癎样放电检出率均有非常显著性差异( P< 0-001) 。其癎样放电时相以睡眠期为主(97-2 % ) 。结论:动态脑电图对小儿癫癎诊断、鉴别诊断和指导治疗有重要作用。

关 键 词:小儿  癫癎  动态脑电图

Significance of AEEG monitoring in diagnosis of epilepsy in children.
Kong Feng,Zang Yuping,Li Jingjie,et al.. Significance of AEEG monitoring in diagnosis of epilepsy in children.[J]. Journal of Clinical Electroneurophysiology, 1999, 0(4)
Authors:Kong Feng  Zang Yuping  Li Jingjie  et al.
Abstract:Objectives:To explore the significance of 24 hour AEEG in the diagnosis and differential diagnosis of epilepsy in children.Methods:Twenty four hour AEEG monitoring was performed on 125 children with epilepsy and doutful epilepsy diagnosed clinically.Results:The total abnormality rate of EEG was 62.3%. The abnormality rate of EEG in epilepsy group was 77.0% and the detection rate of epileptiform discharges was 74.7%. However, the abnormality rate of EEG in doutful epilepsy group was only 31.6%, and the detection rate of epileptiform discharges was 18.4%. There was a significant difference in the EEG abnormality rate and detection rate of epileptiform discharges between the two groups. The time of epileptiform discharges were mainly during sleeping (97.2%).Conclusion:AEEG might be of important significance in diagnosis, differential diagnosis and guiding treatment of epilepsy in children.
Keywords:Children Epilepsy Ambulatory electroencephalography
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