病毒性脑炎动态脑电图与常规脑电图对照分析

Contrast analysis of AEEG and REEG in Viral encephalitis

目的:探讨病毒性脑炎实施脑电图检查的临床价值。方法:以45例疑似病毒性脑炎患者作为研究对象,分别实施常规脑电图检查和动态脑电图检查,观察比较脑电图异常情况和癫痫样放电发生情况。结果:动态脑电图检查在诊断结果、癫痫样放电上的阳性率(77.8%和66.7%)均明显高于常规脑电图检查(57.8%和26.7%)差异有统计学意义(P<0.05)。患者病情越严重,脑电图检查异常率越高。结论:针对病毒性脑炎患者,脑电图诊断具有较高的应用价值,其中动态脑电图检查对脑电异常活动的敏感性更高。

Objective： To analyze the clinical value of the implementation of EEG in patients with viral encephalitis. Methods： 45 cases of suspected viral encephalitis patients admitted into our hospital as the research subjects were implemented REEG and AEEG examinations respectively, the EEG anomalies and epileptic discharges were compared. Results： The positive rate of AEEG in diagnosis and epileptic discharge （77.8% and 66.7% respectively） were higher than that of REEG （57.8% and 26.7% respectively）, which were of statistical differences（P〈0.05）. The more severe of disease, the higher of the abnormal rate of EEG in patients. Conclusion： For patients with viral encephalitis, EEG diagnosis has a high application value, and especially AEEG is more highly sensitive to the EEG abnormal activities. So, high priority should be given to the use of AEEG.