脑电图监测下癫痫发作期问诊和查体的现状

Current status of ictal testing during video-EEG monitoring

目的在癫痫专业轮转培训中,发作症状学的教学是重点也是难点,但发作期问诊和查体并不是常规培训项目。调查宣武医院神经内科医护人员的癫痫发作期问诊和查体的现状,为癫痫专业医护轮转培训方法的改进提供指导意见。方法自行设计问卷,通过微信向神经内科医护人员进行调查,内容包含医护人员一般情况、癫痫发作期问诊和查体现状、问卷培训后效果评价等。结果问卷发出75份,共回收57份。医护人员在发作期问诊和查体不够全面,对检查的临床意义认识欠佳。问卷培训后,全部人员知晓了发作期问诊和查体的意义,且会在未来工作中应用。结论应改进癫痫专业医护教学培训方法,增加发作期问诊和查体实践培训,提高培训效能及病区诊疗水平。

Objective In the training of epilepsy ward rotation,the teaching of semiology is a challenge,but the ictal testing is not covered by regular training.By investigating the current situation of neurological medical staff in Xuanwu Hospital,Capital Medical University for the ictal testing during video-EEG monitoring,we provide some strategies for the improvement of the training of epilepsy rotation in the future.Methods Questionnaires were distributed to the medical staff working in the Department of Neurology in Xuanwu Hospital through WeChat.The contents of the questionnaire mainly included the geographic data of medical staff,the status of ictal testing during video-EEG monitoring and the impact of the questionnaire.Results A total of 57 subjects were collected.The medical staff were not comprehensive enough to do ictal testing during video-EEG monitoring.The understanding of clinical significance of some ictal tests was poor,so further training was needed.After the questionnaire showed,all subjects were aware of the significance of the ictal testing during video-EEG monitoring,and indicated that they would be applied in future work.Conclusions It is necessary to cover the training of ictal testing during video-EEG monitoring in epilepsy unit so as to improve the training efficiency and clinical practice.