小儿感染性脑炎脑膜炎86例视频脑电监测分析

Clinical analysis of video-electroencephalogram monitoring of 86 cases with pediatric infectious encephalitis or meningitis

目的探讨视频脑电监测在小儿感染性脑炎脑膜炎诊治中的应用价值。方法对2009年1月至2013年5月在山东省东营市胜利油田中心医院儿科住院的86例感染性脑炎脑膜炎患儿的视频脑电监测变化进行回顾性分析。结果在86例感染性脑炎脑膜炎患儿中,视频脑电图(VEEG)异常率达94%,中度及重度异常表现者检出率明显高于头颅CT检出率(x～2值分别为8.127和10.389,P<0.01);VEEG异常程度与患儿临床表现轻重程度呈显著正相关(r=0.642,P<0.01);病愈时间长短与VEEG异常程度呈显著正相关(r=0.438,P<0.01)。结论感染性脑炎脑膜炎患儿VEEG异常检出率高,其异常改变程度及转归与临床病情及病程有关,可能成为指导临床诊断及判断病情的重要指标。

Objective To explore the application values of video-electroencephalogram （ VEEG） monitoring in the diagnosis and treatment of infectious encephalitis or meningitis .Methods A retrospective analysis was conducted on the VEEG monitoring data of 86 cases of infectious encephalitis or meningitis in children .Results In 86 cases with infectious encephalitis or meningitis , the abnormal rate of VEEG was 94%, and the detection rates of moderate and severe abnormal manifestations were significantly higher than skull CT （χ^2 value was 8.127 and 10.389, respectively, both P〈0.01）.There was significant positive correlation between VEEG changes and the manifestations of children patients （r=0.642,P〈0.01）.The course of disease was positively associated with VEEG changes （r=0.438,P〈0.01）. Conclusion The abnormal rate of infectious encephalitis or meningitisin in children is high with VEEG .The VEEG changes and outcomes are associated with clinical manifestation and the course of disease , which might be important indexes of guiding clinical prognosis and judging disease condition .