摘要
目的比较不同脑电图检查方法用于颞叶癫痫的诊断价值。方法选择台州市中心医院(台州学院附属医院)2013年10月至2014年10月诊治的行脑电图检查的颞叶癫痫患者123例分别进行常规脑电图、动态脑电图、常规蝶骨电极检查、长程蝶骨电极检查。比较颞叶癫痫患者各类脑电图、清醒期与睡眠期癫痫波检出率。结果常规脑电图癫痫波检出率(52.63%)与动态脑电图癫痫波检出率(61.11%)差异无统计学意义(P>0.05);长程蝶骨电极脑电图癫痫波检出率为63.64%,高于常规蝶骨电极脑电图癫痫波检出率的22.22%(χ^2=8.776,P<0.05);颞叶癫痫患者睡眠期脑电图癫痫波检出率(51.35%)与清醒期(29.73%)比较,差异有统计学意义(χ^2=5.739,P<0.05)。结论不同脑电图检查方法在颞叶癫痫诊断中均有各自优势,蝶骨电极加睡眠诱发试验能明显提高颞叶癫痫异常检出率。
Objective To compare the clinical value of different electroencephalogram(EEG) in the diagnosis of temporal lobe epilepsy.Methods A total of 123 patients in Taizhou Central Hospital received routine EEG,dynamic EEG,routine sphenoidal electrode examination,and long sphenoidal electrode examination.The the detection rate of epileptic waves in EEG,awake and sleep phases of patients with temporal lobe epilepsy were compared.Results The detection rate of epileptiform wave by the routine EEG was 52.63%,which by the dynamic EEG was 61.11%,and there was no statistically significant difference(P>0.05). The detection rate of epileptiform wave by the long range sphenoidal electrode EEG was 63.64%,which was higher than that by the conventional sphenoidal electrode EEG(22.22%)(χ^2=8.776,P<0.05). The detection rate of epileptiform wave in the sleep period EEG in temporal lobe epilepsy was 51.35%,which was higher than that in the awake period (29.73%),and the difference was statistically significant(χ^2=5.739,P<0.05).Conclusion Different types of EEG have their respective advantages in diagnosis of temporal lobe epilepsy,sphenoidal electrodes and sleep induced temporal lobe epilepsy can significantly improve the detection rate of abnormal EEG,has important clinical value in the diagnosis of temporal lobe epilepsy.
作者
胡金蒙
李红
张丽军
Hu Jinmehg;Li Hong;Zhang Lijun(Electroencephalogram Room,Function Diagnosis Center,Taizhou Central Hospital (the Affiliated Hospital of Taizhou University),Taizhou ,Zhejiang 318000,China)
出处
《中国基层医药》
CAS
2018年第23期3067-3070,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
癫痫
脑电描记术
诊断
Epilepsy
Electroencephalography
Diagnosis
