论文部分内容阅读
目的 :探讨小儿动态脑电图 (AEEG)的睡眠时相与癫的关系及其对小儿癫病的诊断价值。方法 :14 0例常规脑电图 (EEG)无样放电患儿分别为临床诊断癫组和可疑癫组 ,进行 2 4hAEEG监测 ,并观察觉醒期和睡眠期AEEG样放电的分布情况。结果 :AEEG样放电发生率在临床诊断小儿癫组占 5 5 9% ,小儿可疑癫组占 37 5 %。样放电多见于NREMⅠ Ⅱ期 ,并见有NREMⅠ Ⅱ期明显延长 ,而NREMⅢ Ⅳ期相对缩短。结论 :小儿癫病样放电主要发生于NREMⅠ Ⅱ期 ,AEEG可提高小儿癫病样放电的检出率 ,对小儿癫病的诊断有重要意义
Objective: To investigate the relationship between sleep phase and epilepsy in children with dynamic electroencephalogram (AEEG) and its diagnostic value in children with epilepsy. Methods: 14 cases of routine electroencephalogram (EEG) without discharge were clinically diagnosed epilepsy group and suspicious epilepsy group, 24 h AEEG monitoring, and observe the awakening and sleep AEEG -like discharge distribution . Results: The incidence of AEEG -like discharge in clinical diagnosis of pediatric epilepsy group accounted for 59.9%, pediatric suspected epilepsy group 37 5%. like discharge more common in NREM Ⅰ Ⅱ, and see a significant prolongation of NREM Ⅰ Ⅱ, and NREM Ⅲ Ⅳ relatively shortening. CONCLUSIONS: Epilepsy-like discharge in children mainly occurs in stage NREMⅠ, and AEEG can increase the detection rate of epileptiform discharge in children with epilepsy, which is of great significance in the diagnosis of pediatric epilepsy