动态脑电图对脑梗死继发癫痫患者的诊断价值

Diagnostic value of ambulatory electroencephalogram in patients with epilepsy secondary to cerebral infarction

目的 研究动态脑电图对脑梗死继发癫痫患者的诊断价值。方法 接诊初次发病脑梗死患者105例,按照是否继发癫痫分成两组,其中50例继发癫痫为研究组,其余55例未发生癫痫为对照组。两组患者均接受动态脑电图检测,比较两组患者异常放电检出情况及不同部位癫痫样波检出情况。结果 研究组异常放电检出率96.00%高于对照组的9.09%,差异有统计学意义(P<0.05)。研究组患者脑叶皮质区、深部白质区癫痫样波检出率分别为80.00%、78.00%,均高于对照组的1.82%、0,差异有统计学意义(P<0.05)。结论 动态脑电图对脑梗死继发癫痫诊断率高,可有效对癫痫疾病发作与病情变化进行预测,对脑梗死后患者是否继发癫痫进行有效安全监测,利于临床诊疗方案的制定,促进患者康复。

Objective To study the diagnostic value of ambulatory electroencephalogram in patients with epilepsy secondary to cerebral infarction.Methods 105 patients with initial onset of cerebral infarction were seen and divided into two groups according to whether they had secondary epilepsy or not,out of which 50 cases with secondary epilepsy were the study group and the remaining 55 cases without epilepsy were the control group.Both groups were subjected to ambulatory electroencephalogram,the detection of abnormal discharge and epileptic wave in different parts were compared between the two groups.Results The detection rate of abnormal discharge in the study group was 96.00%,which was higher than 9.09%in the control group,and the difference was statistically significant(P<0.05).The detection rates of epileptic wave in lobocortical area and deep white matter area were 80.00%and 78.00%in the study group,which were higher than 1.82%and 0 in the control group,and the difference was statistically significant(P<0.05).Conclusion Ambulatory electroencephalogram has a high diagnosis rate of epilepsy secondary to cerebral infarction,which can effectively predict the onset and condition changes of epilepsy,and effectively and safely monitor whether patients with secondary epilepsy after cerebral infarction,which is conducive to the formulation of clinical diagnosis and treatment regimen and promote the rehabilitation of patients.