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目的探讨儿童被家长击打头部后癫发作的脑电图及随访脑电图的变化。方法商丘市第二人民医院于1990-1999年,对36例头部被家长击打后癫发作患儿行脑电图检查并进行3~8年的随访。结果36例中脑电图异常32例(88.9%),其中有样放电者28例(87.5%,28/32);随访脑电图异常消失22例(68.7%,22/32),样放电消失18例(64.3%,18/28)。常规记录即有样放电、背景节律以慢波为主、临床发作较晚(>1周)者样放电较难消失(均P<0.05)。首次脑电图有样放电者临床发作较难控制(P<0.05),随访脑电图样放电不消失者临床发作更难控制(P<0.01)。结论儿童头部被家长击打后癫发作的脑电图异常率高,样放电消失与否与样放电的特点及临床发作早晚有一定关系,且对临床预后产生较大影响,应引起重视。
Objective To investigate the changes of electroencephalogram and follow-up electroencephalogram in children with epileptic seizures after their parents hit the head. Methods The Second People’s Hospital of Shangqiu City in 1990-1999, 36 cases of head hit by the parents after epileptic seizures in children with EEG and 3 to 8 years of follow-up. Results EEG abnormalities were found in 32 cases (88.9%) in 36 cases, of which 28 cases (87.5%, 28/32) were discharged in the same way; 22 cases (68.7%, 22/32) disappeared after EEG abnormality, The discharge disappeared in 18 cases (64.3%, 18/28). Routines such as conventional recording discharge, the background rhythm to slow waves, clinical seizures later (> 1 week) were difficult to disappear after discharge (all P <0.05). The first episode of electroencephalogram discharge was more difficult to control the clinical attack (P <0.05), follow-up EEG like discharge is not disappeared clinical seizures more difficult to control (P <0.01). Conclusion The abnormal rate of EEG in epileptic seizures is high when the head of a child is struck by a parent. Whether the disappearance of a normal discharge is related to the characteristics of discharge and the clinical onset sooner or later have a great effect on the clinical prognosis. Caused attention.