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

The Value of Video EEG Monitoring in the Diagnosis and Treatment of Infectious Meningitis in Children

目的:研究视频脑电监测(V-EEG)在小儿感染性脑炎脑膜炎诊治中的应用价值。方法:在本院儿科2018年5月~2019年6月收治的小儿感染性脑炎脑膜炎患儿中选出116例为对象,均对患儿进行视频脑电监测。结果:116例患儿经V-EGG监测异常率为87.93%,其中轻度异常占66.67%,中度异常占21.57%,重度异常占11.76%;异常部位:两侧大脑半球弥漫异常占58.82%,弥漫异常并伴有局灶性偏胜占41.18%;V-EEG异常程度与临床分型呈正相关,P<0.05;本组116例患儿痊愈109例,7例有后遗症,其中临床分型为中型者有1例有后遗症,重型者有6例遗留后遗症;V-EEG异常程度为中度者有2例遗留后遗症,重度异常者有5例遗留后遗症。结论:小儿感染性脑炎脑膜炎的视频脑电监测可见异常率高,且异常程度与病情临床分型、预后呈正相关,可为临床诊疗提供参考。

Objective:To study the value of video EEG monitoring(V-EEG)in the diagnosis and treatment of infectious meningitis in children.Methods:116 children with infectious meningitis were selected from May 2018 to June 2019.All of them were monitored by video EEG.Results:The abnormal rate of V-EGG monitoring was 87.93%,of which 66.67%were mild abnormal,21.57%were moderate abnormal,11.76%were severe abnormal,58.82%were diffusely abnormal in both cerebral hemispheres.The degree of V-EEG abnormality was positively correlated with clinical classification,P<0.05;116 children in this group recovered 109 cases,7 cases had sequelae,among which 1 case had sequelae in clinical classification medium and 6 cases left sequelae in severe patients;2 cases had legacy sequelae in V-EEG abnormality degree moderate and 5 cases left sequelae in severe patients.Conclusion:Video EEG monitoring of infective encephalitis meningitis in children shows high abnormal rate,and the degree of abnormality is positively correlated with clinical classification and prognosis,which can provide reference for clinical diagnosis and treatment.