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目的：探讨儿童非癫痫性发作（ＮＥＳ）的诊断及其影响因素。方法：根据２４ｈ动态脑电图（ＡＥＥＧ）监测，综合分析病史、体格检查、神经系统检查及影像学资料。结果：ＮＥＳ合并癫痫者占所有病例的２８％；单纯ＮＥＳ癫痫样脑波检出率为１０％；有脑器质性损害者，ＮＥＳ合并癫痫占３２％，单纯ＮＥＳ占１１％；单纯ＮＥＳ使用抗癫痫药者占１８％，合并癫痫而加用抗癫痫药者达５０％。结论：ＡＥＥＧ是鉴别ＮＥＳ与癫痫发作的较好方法；ＮＥＳ发作形式，ＮＥＳ与癫痫并存，癫痫样脑波，脑器质性损害证据及抗癫痫药滥用是影响ＮＥＳ诊断的主要因素。
Objective: To investigate the diagnosis and influencing factors of non-epileptic seizures (NES) in children. Methods: According to 24h dynamic electroencephalogram (AEEG) monitoring, a comprehensive analysis of medical history, physical examination, neurological examination and imaging data. Results: NES with epilepsy accounted for 28% of all cases; simple NES epileptiform brain-wave detection rate was 10%; those with organic brain damage, NES with epilepsy accounted for 32%, simple NES accounted for 11%; simple NES use Antiepileptic drugs accounted for 18%, combined epilepsy plus anti-epileptic drugs up to 50%. Conclusion: AEEG is a good method to distinguish NES from seizure. NES attack, coexistence of NES and epilepsy, epileptiform brain wave, evidence of organic brain damage and abuse of antiepileptic drugs are the main factors affecting the diagnosis of NES.