CAJ | 학술논문

目的：探讨连续脑电监测对大脑中动脉供血区脑梗死患者预后判断的准确性。方法40例大脑中动脉供血区脑梗死患者根据病情进展与否分为恶性组（14例）和良性组（26例），入院24 h内进行连续床旁脑电监测，分析脑电图变化与恶性程度的相关性。结果恶性组患者连续床旁脑电图（ CEEG ）异常检出率为85．71％（12／14），与良性组[65．38％（17／26）]差异有统计学意义（χ2＝10．405，P＝0．001）。恶性组脑电图呈重度异常者4例，入院第2天昏迷，中度异常者6例，轻度异常者2例，正常者2例。结论早期连续脑电监测对大脑中动脉供血区脑梗死患者的预后评估具有一定参考价值。
목적：탐토련속뇌전감측대대뇌중동맥공혈구뇌경사환자예후판단적준학성。방법40례대뇌중동맥공혈구뇌경사환자근거병정진전여부분위악성조（14례）화량성조（26례），입원24 h내진행련속상방뇌전감측，분석뇌전도변화여악성정도적상관성。결과악성조환자련속상방뇌전도（ CEEG ）이상검출솔위85．71％（12／14），여량성조[65．38％（17／26）]차이유통계학의의（χ2＝10．405，P＝0．001）。악성조뇌전도정중도이상자4례，입원제2천혼미，중도이상자6례，경도이상자2례，정상자2례。결론조기련속뇌전감측대대뇌중동맥공혈구뇌경사환자적예후평고구유일정삼고개치。
Objective To investigate the accuracy of predicting middle cerebral artery infaction with contin -ue electroencephalograph .Methods 40 cases with middle cerebral artery infaction were divided into malignant groups(14) and binigan groups(26).They were all with continued beside electroencephalograph within 24 hours after admission.Results Abnormal CEEG rate in malignant groups [85.71%(12/14)]was significantly higher than that in binigan groups[65.38%(17/26)](χ2 =10.405,P=0.001).In malignant groups,severe abnormal CEEG was seen in 4 cases developed coma at the second day of admission ,moderate abnormal CEEG was found in 6 cases,slight abnormal CEEG was detected in 2 cases,normal CEEG was detected in 2 cases.Conclusion Early CEEG has a cer-tain value for predicting middle cerebral artery infaction .