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动态脑电图在儿童癫痫诊断中的应用
引用本文:沈翔,李晓霞,王力佳,孙冬梅,赵香莲,金绮,李珊,张颖.动态脑电图在儿童癫痫诊断中的应用[J].黑龙江医学,2012,36(5):366-368.
作者姓名:沈翔  李晓霞  王力佳  孙冬梅  赵香莲  金绮  李珊  张颖
作者单位:沈翔 (哈尔滨市儿童医院,黑龙江,哈尔滨,150010) ; 李晓霞 (哈尔滨市儿童医院,黑龙江,哈尔滨,150010) ; 王力佳 (哈尔滨市儿童医院,黑龙江,哈尔滨,150010) ; 孙冬梅 (哈尔滨市儿童医院,黑龙江,哈尔滨,150010) ; 赵香莲 (哈尔滨市儿童医院,黑龙江,哈尔滨,150010) ; 金绮 (哈尔滨市儿童医院,黑龙江,哈尔滨,150010) ; 李珊 (哈尔滨市儿童医院,黑龙江,哈尔滨,150010) ; 张颖 (哈尔滨市儿童医院,黑龙江,哈尔滨,150010) ;
摘    要:目的探讨动态脑电图在儿童癫痫诊断中的价值。方法回顾性分析1 115例儿童癫痫与疑似病例的动态脑电图资料,与同期1 115例常规脑电图资料对照。结果动态脑电图组:39%检出癫痫样放电,4.2%捕捉到发作期的脑电图波形变化;常规脑电图组:14%检出癫痫样放电,0.8%捕捉到发作期的脑电图波形变化。经统计学处理,动态脑电图组的癫痫样放电检出率和发作期波形出现率明显高于常规脑电图组(χ2=179.5,P<0.01;χ2=26.45,P<0.01)。结论与常规脑电图比较,动态脑电图在儿童癫痫的诊断中具有明显优势。

关 键 词:动态脑电图  诊断  儿童  癫痫

The Application of Ambulatory Electroencephalogram in the Diagnosis of Children with Epilepsy
Institution:SHEN Xiang,LI Xiao-xia,WANG Li-jia,et al.(The Children′s Hospital of Harbin City,Harbin 150010,CHINA)
Abstract:Objective The purpose of this study was to discuss the diagnostic value of ambulatory electroencephalogram(AEEG) in children with epilepsy.Methods The data of AEEG were analyzed retrospectively in 1115 children with epilepsy include diagnosed and suspected in comparison with 1115 controls,data of routine electroencephalogram(REEG).Results The positive rate of epileptiform discharges was 39% and 4.2% synchronous seizures were captured in AEEG group,and the positive rate of epileptic waves was 14% and 0.8% seizures were found in REEG group.The both of rate was significant difference between the two groups(χ2 =179.5,P<0.01,χ2 =26.45,P<0.01).Conclusion AEEG has significant advantage than REEG in the diagnosis of children with epilepsy.
Keywords:Ambulatory electroencephalogram  Diagnosis  Children  Epilepsy
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