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目的观察睡眠障碍患儿的临床表现和脑电图(EEG)改变,探讨其对临床诊断和鉴别诊断的价值。方法收集睡眠障碍的患儿54例,对其临床发作特点及脑电图特征进行比较和分析。结果睡眠肌阵挛发生于NREM睡眠Ⅰ~Ⅱ期;夜惊和睡行症大多数发生于NREM睡眠Ⅲ~Ⅳ期;梦魇发生于REM期。54例中出现痫波12例。结论儿童睡眠障碍发作形式多样,EEG对睡眠障碍的诊断和鉴别诊断具有重要意义。
Objective To observe the changes of clinical manifestations and electroencephalogram (EEG) in children with sleep disorders and explore their value in clinical diagnosis and differential diagnosis. Methods Fifty-four children with sleep disorders were collected and their clinical features and characteristics of electroencephalogram were compared and analyzed. Results Sleep myoclonus occurred in stages Ⅰ ~ Ⅱ of NREM sleep; night scares and sleep disorders mostly occurred in stage Ⅲ ~ Ⅳ of NREM sleep; nightmare occurred in REM stage. 54 cases of epilepsy occurred in 12 cases. Conclusion There are various forms of sleep disorders in children, and EEG is of great importance in the diagnosis and differential diagnosis of sleep disorders.