中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
14期
46-48
,共3页
医源性难治性癫痫%长程录像脑电图%儿童%护理配合
醫源性難治性癲癇%長程錄像腦電圖%兒童%護理配閤
의원성난치성전간%장정록상뇌전도%인동%호리배합
Iatrogenic refractory epilepsy%Video electroencephalogram%Children%Nursing cooperation
目的 探讨长程录像脑电图(VEEG)监测在纠正儿童“医源性难治性癫痫”中的护理配合要点.方法 对需进一步明确诊断的9例药物抗癫痫效果欠佳患儿实施如下护理配合措施:预约和沟通了解患儿的病史及发作的相关因素;严格VEEG监测的条件,减少伪差的干扰;执行背景波及睁闭眼实验的描记、过度换气、闪光刺激等诱发试验;根据患儿发作的特点给予直立试验、热水刺激等诱导发作的条件;告知患儿及家长复查VEEG及完善相关检查对纠正癫痫诊断的意义.结果 9例患儿中5例纠正了癫痫的诊断分型,2例已诊断为儿童良性癫痫伴中央颞区棘波(BECT)的患儿病程中出现了新的发作类型,结合此次VEEG特点诊断为BECT的变异型,2例患儿排除了癫痫诊断.结论 VEEG监测在纠正儿童“医源性难治性癫痫”中应用时,应注意与患儿和家长的沟通,严格执行监测标准,根据患儿特点予以针对性的试验刺激,可获得真实满意的监测结果.
目的 探討長程錄像腦電圖(VEEG)鑑測在糾正兒童“醫源性難治性癲癇”中的護理配閤要點.方法 對需進一步明確診斷的9例藥物抗癲癇效果欠佳患兒實施如下護理配閤措施:預約和溝通瞭解患兒的病史及髮作的相關因素;嚴格VEEG鑑測的條件,減少偽差的榦擾;執行揹景波及睜閉眼實驗的描記、過度換氣、閃光刺激等誘髮試驗;根據患兒髮作的特點給予直立試驗、熱水刺激等誘導髮作的條件;告知患兒及傢長複查VEEG及完善相關檢查對糾正癲癇診斷的意義.結果 9例患兒中5例糾正瞭癲癇的診斷分型,2例已診斷為兒童良性癲癇伴中央顳區棘波(BECT)的患兒病程中齣現瞭新的髮作類型,結閤此次VEEG特點診斷為BECT的變異型,2例患兒排除瞭癲癇診斷.結論 VEEG鑑測在糾正兒童“醫源性難治性癲癇”中應用時,應註意與患兒和傢長的溝通,嚴格執行鑑測標準,根據患兒特點予以針對性的試驗刺激,可穫得真實滿意的鑑測結果.
목적 탐토장정록상뇌전도(VEEG)감측재규정인동“의원성난치성전간”중적호리배합요점.방법 대수진일보명학진단적9례약물항전간효과흠가환인실시여하호리배합조시:예약화구통료해환인적병사급발작적상관인소;엄격VEEG감측적조건,감소위차적간우;집행배경파급정폐안실험적묘기、과도환기、섬광자격등유발시험;근거환인발작적특점급여직립시험、열수자격등유도발작적조건;고지환인급가장복사VEEG급완선상관검사대규정전간진단적의의.결과 9례환인중5례규정료전간적진단분형,2례이진단위인동량성전간반중앙섭구극파(BECT)적환인병정중출현료신적발작류형,결합차차VEEG특점진단위BECT적변이형,2례환인배제료전간진단.결론 VEEG감측재규정인동“의원성난치성전간”중응용시,응주의여환인화가장적구통,엄격집행감측표준,근거환인특점여이침대성적시험자격,가획득진실만의적감측결과.
Objective To explore the cooperation of video electroencephalogram (VEEG) and nursing in the use of correcting iatrogenic refractory epilepsy in children.Methods We implemented the following nursing measures:making an appointment to understand the patients' history and seizures; controlling the condition of VEEG seriously to reduce the interference of potential difference; performing the recording of the background wave of the VEEG with eyes test,hyperventilation,flash stimulation and other evoked tests; giving experiment to induce seizure,such as vertical test,hot water stimulation and so on,which was according to the characteristics of children with seizures; informing the parents and children to review the VEEG and perfect the relevant inspection to correct the diagnosis of epilepsy clearly.Results 5 patients in 9 cases had corrected the diagnosis and classification of epilepsy.2 cases who had been diagnosed as BECT (benign childhood epilepsy with centrotemporal spikes) appeared new type of seizure in the course of disease,then we diagnosed the variant of BECT,according to the characteristics of VEEG.2 cases were excluded the diagnosis of epilepsy.Conclusions During application of VEEG in the use of correcting iatrogenic refractory epilepsy in children,we should pay attention to the communication with children and parents,strictly implement monitoring standard,give testing stimulation according to characteristics of children,so that we can get real and satisfying monitoring results.
