老年急性脑梗死患者脑电图异常与癫痫发作的关系研究

Study on the Relationship between EEG Abnormalities and Epileptic Seizures in Elderly Patients with Acute Cerebral Infarction

目的:探索老年急性脑梗死患者脑电图异常和患者癫痫发作的关系。方法:收集笔者所在科室2015年3月~2016年3月接收的患急性脑梗死的74例老年患者,详细记录患者的梗死部位和脑电图异常情况,以对脑电图异常和癫痫发作间的联系进行分析。结果:部分皮层与皮层下、分水岭部位及大面积脑梗死等部位的癫痫发作、癫痫异常放电率对比差异有统计学意义(P<0.05)。结论:针对老年急性脑梗死患者应对其脑电图进行严密的监测,一旦发现异常应及时给予针对性的手段预防癫痫。

Objective： To explore the relationship between EEG abnormalities and epileptic seizures in elderly patients with acute cerebral infarction. Methods： 74 cases of elderly patients with acute cerebral infarction and who received in our department from March,2015 to March,2016 were collected. Then,the location of infarction and abnormal EEG of patients were recorded,and the association between EEG abnormalities and seizures were analyzed. Results： The epileptiform discharge rate of epileptic seizures and other places in the partial cortex and subcortical,watershed and large area cerebral infarction were compared（ P 0. 05）. Conclusion： To monitor the EEG of elderly patients with acute cerebral infarction,which once the abnormal should be given in a targeted manner to prevent epilepsy.