脑性瘫痪合并发作性疾病患儿视频脑电图监测的临床意义探讨

Children with Cerebral Palsy to Merge a Seizure Disorder to Explore the Clinical Significance of Video Eeg Monitoring

目的探讨分析脑性瘫痪合并发作性疾病患儿应用视频脑电图进行监测的临床意义与价值。方法该研究将单县中心医院自2012年5月—2015年3月期间,住院部所收治脑性瘫痪合并发作性疾病患者共计100例作为研究对象,A组50例为脑瘫合并癫痫,B组50例为脑瘫合并非癫痫发作性疾病。对两组患儿视频脑电图进行监测下的痫样放电发生率进行对比与观察。结果 A组50例患儿中,视频脑电图监测下显示痫样放电发生率为72.00%(36/50),B组为28.00%(14/50),A组明显高于B组;A组患儿同步节律放电发生率为88.89%(32/36),B组为28.57%(4/14),A组明显高于B组;以上数据经对比,差异有统计学意义(P<0.05)。结论应用视频脑电图监测能够提高对脑性瘫痪合并发作性疾病患儿痫样放电的检出率,对区分癫痫与非癫痫发作性疾病有突出的诊断意义。

Objective To study the combined analysis of cerebral palsy children with paroxysmal diseases application video electroencephalogram(eeg) to monitor the clinical significance and value. Methods This study will be on-site to central hospital from May 2012 to March 2015 range,the inpatient cerebral palsy were combined by A seizure disorder in patients with A total of 100 cases as the research object, A group of 50 cases of cerebral palsy with epilepsy, B group of 50 cases of cerebral palsy with non epileptic seizure disorders. On two groups of children with epilepsy video eeg monitoring of sample discharge rate compared with observation. Results 25 cases of group A, under the video eeg monitoring display sample epilepsy discharge rate was 72.00%(36/50), group B was 28.00%(14/50),group A was obviously higher than group B; A group of children with synchronous rhythms discharge rate was 88.89%(32/36), group B was 28.57%(4/14), group A was obviously higher than group B; The above data by contrast all have significant differences, the difference is statistically significant(P<0.05).Conclusion The application of video eeg monitoring to improve epilepsy in children with cerebral palsy to merge a seizure disorder sample rate of discharge, to distinguish between epilepsy and non epileptic seizure disorders have prominent diagnostic significance.