不同时限视频脑电图诊断小儿癫痫的效果分析

Analysis of Effect of Video EEG at Different Time Frames in Diagnosis of Epilepsy in children

目的:探讨不同时限视频脑电图诊断小儿癫痫的效果。方法:选取2021年4—12月成武县人民医院收治的74例癫痫患儿为研究对象,均接受视频脑电图检测,分析不同时限小儿癫痫检出率、疾病发作类型、视频脑电图特点、诱发因素等。结果:5 h视频脑电图检测疾病检出率最高,差异有统计学意义(P<0.05);癫痫发作类型有失神发作、强直发作、痉挛发作、失张力发作、轻度发作,以失神发作占比最高,差异有统计学意义(P<0.05);视频脑电图特点分析,不同癫痫发作类型视频脑电图不同;小儿癫痫诱发因素以围生期脑损伤、神经皮肤综合征占比较高,差异有统计学意义(P<0.05)。结论:视频脑电图用于诊断小儿癫痫,以5 h检出率最高,不同发作类型视频脑电图特点存在差异。

Objective:To explore the effect of video EEG in different time frames in the diagnosis of epilepsy in children.Methods:Seventy-four children with epilepsy admitted to the Chengwu County People's Hospital from April 2021 to December 2021 were selected as the study subjects.All chindren received video EEG detection.The detection rate of epilepsy in children in different time frames,disease onset type,characteristics of video EEG,and inducing factors were analyzed.Results:The disease detection rate of 5-h video EEG was the highest,and the difference was statistically significant(P<0.05).The seizure types included absence seizures,tonic seizures,spastic seizures,atonic seizures,and mild seizures,and absence seizures accounted for the highest proportion,and the difference was statistically significant(P<0.05).Video EEG characteristics analysis showed that,different seizure types had different video EEG characteristics;The inducing factors of pediatric epilepsy were mainly perinatal brain injury and neurocutaneous syndrome with a high proportion,and the difference was statistically significant(P<0.05).Conclusion:Video EEG in the diagnosis of epilepsy in children has the highest detection rate at 5 h,and the characteristics of video EEG of different seizure types are different.