量化脑电图监测动脉瘤性蛛网膜下腔出血后血管痉挛及预测预后的研究

Quantitative EEG Monitoring of Vasospasm after Aneurysmal Subarachnoid Hemorrhage and Prediction of Prognosis

目的:研究动脉瘤性蛛网膜下腔出血(aSAH)后血管痉挛(CVS)患者行量化脑电图监测的效果。方法:选择2019年1月—2020年4月我院收治60例aSAH后CVS患者,术前术后均采取量化脑电图检测,根据“量化脑电图监测结果”分甲组(正常振幅)与乙组(异常振幅)各30例,两组诊断结果比较。结果:甲组预后良好率(96.66%)高于乙组(80.00%),甲组预后不良率(3.33%)低于乙组(20.00%),P<0.05,具统计学意义。结论:量化脑电图监测aSAH后CVS患者行能判断预后不良效果,为后期临床治疗提供参考数据、改善预后,值得推广。

Objective:To study the effect of quantitative EEG monitoring in patients with vasospasm(CVS)after aneurysmal subarachnoid hemorrhage(aSAH).Methods:From January 2019 to April 2020,60 patients with CVS after aSAH were admitted to our hospital.Quantitative EEG tests were taken before and after the operation.According to the"quantitative EEG monitoring results",30 cases were divided into group A(normal amplitude)and group B(abnormal amplitude).The diagnosis results of the two groups were compared.Results:The good prognosis rate of group A(96.66%)was higher than that of group B(80.00%),and the poor prognosis rate of group A(3.33%)was lower than that of group B(20.00%),P<0.05,which was statistically significant.Conclusion:Quantitative EEG monitoring of CVS patients after aSAH can judge the poor prognosis,provide reference data for later clinical treatment and improve the prognosis,which is worthy of promotion.