临床儿科杂志
臨床兒科雜誌
림상인과잡지
2013年
8期
788-790
,共3页
袁凯杰(综述)%侯梅(审校)
袁凱傑(綜述)%侯梅(審校)
원개걸(종술)%후매(심교)
癫癎%抗癫癎药物%撤药%复发预测
癲癎%抗癲癎藥物%撤藥%複髮預測
전간%항전간약물%철약%복발예측
epilepsy%anti-epileptiform drugs%withdraw%prediction of relapse
癫癎首次发作后脑电图检出癫样放电异常率在儿童为18%~56%，成人为10%~50%，脑电技术是最常用的癫神经病学检查手段，特征性脑电图异常能够帮助对发作类型及癫综合征的分类、确定治疗方案及判断预后。在特定病例，脑电图能检测到更加细微的发作，包括失神、肌阵挛或部分性发作。癫治疗中不同的抗癫药物对癫样放电的抑制存在差异，癫样放电在复发预测及决定撤除抗癫药物方面起着重要作用。
癲癎首次髮作後腦電圖檢齣癲樣放電異常率在兒童為18%~56%，成人為10%~50%，腦電技術是最常用的癲神經病學檢查手段，特徵性腦電圖異常能夠幫助對髮作類型及癲綜閤徵的分類、確定治療方案及判斷預後。在特定病例，腦電圖能檢測到更加細微的髮作，包括失神、肌陣攣或部分性髮作。癲治療中不同的抗癲藥物對癲樣放電的抑製存在差異，癲樣放電在複髮預測及決定撤除抗癲藥物方麵起著重要作用。
전간수차발작후뇌전도검출전양방전이상솔재인동위18%~56%，성인위10%~50%，뇌전기술시최상용적전신경병학검사수단，특정성뇌전도이상능구방조대발작류형급전종합정적분류、학정치료방안급판단예후。재특정병례，뇌전도능검측도경가세미적발작，포괄실신、기진련혹부분성발작。전치료중불동적항전약물대전양방전적억제존재차이，전양방전재복발예측급결정철제항전약물방면기착중요작용。
EEGs performed for new-onset seizures show epileptiform discharge in approximately 18% to 56% of children and 12%to 50%of adults. EEG is the most commonly used means of neurological examination for epilepsy. Speciifc EEG abnormalities help characterize the seizure type and epilepsy syndrome, which allows more informed decisions regarding therapy and more accurate prediction of seizure control and ultimate remission. In certain cases, the EEG may detect more subtle seizures, including absence, myoclonic or partial seizures. In the therapy of epilepsy, the effect of different antiepileptic drugs on the inhibition of epileptiform discharges is different. Epileptiform discharges play a very important role in the prediction of recurrence and the decision to remove antiepileptic drugs.
