蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2014年
10期
1356-1357,1358
,共3页
苗青%张干%孙静%周媛%宫鑫
苗青%張榦%孫靜%週媛%宮鑫
묘청%장간%손정%주원%궁흠
脑出血%连续脑电图监测%预后
腦齣血%連續腦電圖鑑測%預後
뇌출혈%련속뇌전도감측%예후
cerebral hemorrhage%continuous electroencephalogram%prognosis
目的:探讨不同脑出血部位及血肿量的连续脑电图( CEEG)监测的波形特点。方法:对60例急性脑出血患者进行24 h CEEG。结果:60例急性脑出血中,CEEG异常较明显,多呈广泛性改变,以双侧或单侧弥漫性?波为主,伴阵发性δ活动。表浅部位(脑叶、小脑)较深部病变(脑干、脑室、基底节) CEEG异常率高,改变明显。血肿20~40 ml和>40 ml的脑出血患者CEEG异常率均高于脑出血量<20 ml的患者(P<0.05和P<0.01)。结论:CEEG对脑出血的治疗效果及预后评估有诊断意义。
目的:探討不同腦齣血部位及血腫量的連續腦電圖( CEEG)鑑測的波形特點。方法:對60例急性腦齣血患者進行24 h CEEG。結果:60例急性腦齣血中,CEEG異常較明顯,多呈廣汎性改變,以雙側或單側瀰漫性?波為主,伴陣髮性δ活動。錶淺部位(腦葉、小腦)較深部病變(腦榦、腦室、基底節) CEEG異常率高,改變明顯。血腫20~40 ml和>40 ml的腦齣血患者CEEG異常率均高于腦齣血量<20 ml的患者(P<0.05和P<0.01)。結論:CEEG對腦齣血的治療效果及預後評估有診斷意義。
목적:탐토불동뇌출혈부위급혈종량적련속뇌전도( CEEG)감측적파형특점。방법:대60례급성뇌출혈환자진행24 h CEEG。결과:60례급성뇌출혈중,CEEG이상교명현,다정엄범성개변,이쌍측혹단측미만성?파위주,반진발성δ활동。표천부위(뇌협、소뇌)교심부병변(뇌간、뇌실、기저절) CEEG이상솔고,개변명현。혈종20~40 ml화>40 ml적뇌출혈환자CEEG이상솔균고우뇌출혈량<20 ml적환자(P<0.05화P<0.01)。결론:CEEG대뇌출혈적치료효과급예후평고유진단의의。
Objective:To explore the wave characteristics of continuous electroencephalogram ( CEEG ) in different lesions and bleeding of cerebral hemorrhage. Methods:The 24 hours CEEGs wave of 60 patients with cerebral hemorrhage were recorded. Results:The abnormal CEEGs in 60 patients with cerebral hemorrhage were obvious,which showed extensive changes. The bilateral or unilateral diffuse ? and paroxysmalδwere found. The abnormal rate of CEEG in shallow layer was higher than that in deep lesions,the abnormal rate of CEEG in patient with 20 to 40 ml or more than 40 ml bleeding was higher than that in patient with less than 20 ml bleeding (P<0. 05 and P <0. 01). Conclusions:CEEG has diagnostic significance in the evaluation of treatment effects and prognosis of cerebral hemorrhage.