昏迷病人的脑电图监测

CLINICAL VALUE OF EEG MONITOR IN THE PATIENTS WITH COMA

目的:探讨昏迷病人的脑电图监测应用价值。方法:对78例昏迷病人的脑电图监测记录结果及临床预后进行回顾性分析。结果:慢波型昏迷:61例(78%)死亡7例,β昏迷:1例(1%)预后良好,α-昏迷:2例(3%)均死亡,三相波:5例(6%)死亡3例,周期复合波4例(5%)死亡3例,平坦波:5例(6%)死亡3例,植物状态2例。结论:脑电图监测对昏迷病人的预后评估有一定意义。

Objective: To explore the clinical value of EEG monitor in the patients with coma. Methods: EEG findings and clinical outcome of 61 patients with disturbance of consciousness were analysed retrospectively. Results: EEG showed disturbance of consciousness with slow wave pattern in 61 patients and 7 of them died. 1 patient with favourable prognosis showed β wave pattern ;2 patients showed a wave pattern and both of them died; 5 patients showed tri - phase wave and 2 of them died; 4 patients showed periodic complex wave and 3 of them died; 5 patients showed smooth wave and 3 of them died; EEG in 2 patients showed the vegetable state. Conclusion; EEG monitor might be of important clinical value in judging the prognosis of patients with coma.