发作性事件及脑功能障碍小儿视频脑电图监测的相关分析
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摘要
目的:研究视频脑电图应用于小儿发作性事件与脑功能障碍治疗中的价值。方法:选取某院2015年9月～2016年9月期间就诊的80例发作性事件与脑功能障碍患儿,对患儿实施Video-EEG监测,采用回顾性分析方法阐述视频脑电图监测结果的变化。结果:年龄小于1岁患儿有25例,异常率44.00%;年龄1～3岁患儿有30例,异常率60.00%;年龄4～6岁患儿有15例,异常率33.33%;年龄7～12岁患儿有6例,异常率33.33%;年龄13～15岁患儿有4例,异常率50.00%。结论:小儿发作性事件常见于幼儿与学龄前儿童,且男童数量超过女童,EEG的异常率表现为男童超过女童,特别是局限性异常十分常见,且中央-顶区与额区最明显。
Objective:To study the value of video EEG monitoring in children with paroxysmal events and brain dysfunction.Methods:80 children with epileptic events and brain dysfunction treated in a hospital from September 2015 to September 2016 were enrolled.The children were monitored and retrospective analysis was used to explain the changes of video EEG monitoring results.Results:There were 25 children with an age of less than 1 year old,the abnormal rate was 44.00%;30 children aged 1～3 years,the abnormal rate was 60.00%;15 children aged 4～6 years,the abnormal rate was 33.33%;There were 6 children with7～12 years old,the abnormal rate was 33.33%;4 children aged 13～15 years,the abnormal rate was50.00%.Conclusion:Pediatric episodes are common in children and preschoolers,and the number of boys exceeds that of girls.The abnormal rate of EEG is that boys outnumbered girls.In particular,localized abnormalities are very common,and the central-top and frontal areas are the most obvious.
Objective:To study the value of video EEG monitoring in children with paroxysmal events and brain dysfunction.Methods:80 children with epileptic events and brain dysfunction treated in a hospital from September 2015 to September 2016 were enrolled.The children were monitored and retrospective analysis was used to explain the changes of video EEG monitoring results.Results:There were 25 children with an age of less than 1 year old,the abnormal rate was 44.00%;30 children aged 1～3 years,the abnormal rate was 60.00%;15 children aged 4～6 years,the abnormal rate was 33.33%;There were 6 children with7～12 years old,the abnormal rate was 33.33%;4 children aged 13～15 years,the abnormal rate was50.00%.Conclusion:Pediatric episodes are common in children and preschoolers,and the number of boys exceeds that of girls.The abnormal rate of EEG is that boys outnumbered girls.In particular,localized abnormalities are very common,and the central-top and frontal areas are the most obvious.
引文
1甘晓玲,赵力立,宋葳,等.健康教育对提高小儿视频脑电图监测质量的效果研究.中华妇幼临床医学杂志(电子版),2016,8(6):640~643.
2 张粉霞,王娟,白雪,等.视频脑电图监测在新生儿惊厥发作中的作用分析.中国小儿急救医学,2017,11(10):789~791.
3 白凤玲,廖红梅,李莹,等.742例发作性事件及脑功能障碍小儿视频脑电图监测的研究.中国妇幼保健,2016,6(11):2317~2319.
4 王万弟,何仲义,孙涛,等.视频脑电图、表面肌电图和心电图同步监测对诊断小儿癫痫运动性发作类型及鉴别发作性疾病的价值.宁夏医科大学学报,2017,5(3):336~339;封3.
5 温秀芳(综述),马秀伟,洪小杨(审校).数字视频脑电图在儿科重症监护室的应用.中国小儿急救医学,2016,10(2):113~116.
6 彭琴玲,胡南,罗元芝,等.儿童病毒性脑炎急性期伴癫痫发作的视频脑电图分析.中国小儿急救医学,2015,12(9):648~649.
2 张粉霞,王娟,白雪,等.视频脑电图监测在新生儿惊厥发作中的作用分析.中国小儿急救医学,2017,11(10):789~791.
3 白凤玲,廖红梅,李莹,等.742例发作性事件及脑功能障碍小儿视频脑电图监测的研究.中国妇幼保健,2016,6(11):2317~2319.
4 王万弟,何仲义,孙涛,等.视频脑电图、表面肌电图和心电图同步监测对诊断小儿癫痫运动性发作类型及鉴别发作性疾病的价值.宁夏医科大学学报,2017,5(3):336~339;封3.
5 温秀芳(综述),马秀伟,洪小杨(审校).数字视频脑电图在儿科重症监护室的应用.中国小儿急救医学,2016,10(2):113~116.
6 彭琴玲,胡南,罗元芝,等.儿童病毒性脑炎急性期伴癫痫发作的视频脑电图分析.中国小儿急救医学,2015,12(9):648~649.