脑电图见小棘波的118例儿童病例分析

Control study of EEG small sharp spike in 118 children

目的：对脑电图（EEG）监测显示小棘波的儿童病例进行病例分析，初步探讨小棘波的临床意义。方法：收集2011年EEG监测到小棘波病例118例，分析其临床特征并做近期随访研究，与还无小棘波的1065例作对照。结果：①小棘波118例占同期检查总数的9．97％，与惊厥性疾病显著相关，P％o．01；②1～3岁组占总数67．79％，10～12月份发病明显增多，P〈0．01；③小棘波常见于癫痫（50／118．42．37％）、轻度胃肠炎伴惊厥（CwG）（25／118，21．18％）、单纯性热性惊厥（13／118，11．01%），不同年龄排序有差异；④随访85例，10例（11．76％）惊厥复发，〈1岁组复发率最高（33．33％），P〈0．05。结论：①小棘波在儿童常见，多见于1～3岁儿童，在1～3岁组呈10～12月季节分布；②小棘波常见于癫痫，CwG、热性惊厥等惊厥性疾病也多见，存在年龄差异性；③有11．76％的患者近期复发，〈1岁、确诊癫痫的患儿近期复发率高。

Objective：To develop a comparative study on children with small sharp spikes（SSS） and children without SSS through EEG monitoring sharp spike, to discuss the clinical significance of SSS. Methods： 118 sharp children with SSS in 2011 were selected analyze its clinical features and recent follow- up examination and,chi-square test were pertormed. Results：@ 118 cases with SSS accounted for 10% o- ver the same period the total number of checks. Significantly correlated with convulsion disease, P%0.01. （2） Aged I to 3 group accounted for 67.79% of the total number,October to December increased signifi- cantly, P〈0.01, significant difference. （3）SSS occurred commonly in epilepsy （ 50/118,42.37% ）, convul- sions with mild gastroenteritis（CwG） （25/118,21. 18% ）, single febrile convulsions（ 13/118,11.01% ）, with different ranks in different ages. @Follow-up was in 85 cases, 10 cases（11. 8%）relapsed〈1 year old children had the highest relapse rate（33.33%）. P〈0.05. Conclusion： （1）SSSs common in children, es pecially in chldren of 1 to 3 years old from October to December. （2）SSSs were commonly found common in chldren with epilepsy, CwG, and children with febrile convulsion, etc. There is the age difference in chil- dren of diffentage. （3）11.8%have recent clinical relapse,and children less than 1 year old are diagnosed with epilepsy with high recent of them relapse rate.