微循环学杂志
微循環學雜誌
미순배학잡지
CHINESE JOURNAL OF MICROCIRCULATION
2015年
1期
55-58
,共4页
热性惊厥%脑电图%癫痫
熱性驚厥%腦電圖%癲癇
열성량궐%뇌전도%전간
Febrile seizure%Electroencephalogram%Epilepsy
目的：：观察热性惊厥(FS)儿童的脑电图(EEG)异常与癫痫发生率。方法：102例 FS 患儿根据 EEG检查结果分为 EEG 正常组和 EEG 异常组,比较 EEG 异常组不同部位 EEG 异常率及 FS 患儿后期癫痫发生率。结果：102例 FS 患儿中共有38例(37.25%)EEG 异常,其中弥漫性异常22例(57.89%)、额颞叶区异常9例(23.68%)、顶枕叶区异常7例(18.42%),弥漫性 EEG 异常率明显高于额颞叶区及顶枕叶区 EEG 异常率(χ2=9.20和12.54,P <0.01),经对102例 FS 患儿随访2年,共发现13例(12.75%)发生后期癫痫,均来自 EEG 异常组,其中3例为弥漫性异常(13.64%),8例为额颞叶区异常(88.89%),2例为顶枕叶区异常(28.57%),额颞叶区 EEG 异常FS 患儿后期癫痫发生率高于弥漫性 EEG 异常患儿(χ2=16.11,P <0.01)。结论：额颞叶区 EEG 异常 FS 患儿后期癫痫的发生率较高。
目的：：觀察熱性驚厥(FS)兒童的腦電圖(EEG)異常與癲癇髮生率。方法：102例 FS 患兒根據 EEG檢查結果分為 EEG 正常組和 EEG 異常組,比較 EEG 異常組不同部位 EEG 異常率及 FS 患兒後期癲癇髮生率。結果：102例 FS 患兒中共有38例(37.25%)EEG 異常,其中瀰漫性異常22例(57.89%)、額顳葉區異常9例(23.68%)、頂枕葉區異常7例(18.42%),瀰漫性 EEG 異常率明顯高于額顳葉區及頂枕葉區 EEG 異常率(χ2=9.20和12.54,P <0.01),經對102例 FS 患兒隨訪2年,共髮現13例(12.75%)髮生後期癲癇,均來自 EEG 異常組,其中3例為瀰漫性異常(13.64%),8例為額顳葉區異常(88.89%),2例為頂枕葉區異常(28.57%),額顳葉區 EEG 異常FS 患兒後期癲癇髮生率高于瀰漫性 EEG 異常患兒(χ2=16.11,P <0.01)。結論：額顳葉區 EEG 異常 FS 患兒後期癲癇的髮生率較高。
목적：：관찰열성량궐(FS)인동적뇌전도(EEG)이상여전간발생솔。방법：102례 FS 환인근거 EEG검사결과분위 EEG 정상조화 EEG 이상조,비교 EEG 이상조불동부위 EEG 이상솔급 FS 환인후기전간발생솔。결과：102례 FS 환인중공유38례(37.25%)EEG 이상,기중미만성이상22례(57.89%)、액섭협구이상9례(23.68%)、정침협구이상7례(18.42%),미만성 EEG 이상솔명현고우액섭협구급정침협구 EEG 이상솔(χ2=9.20화12.54,P <0.01),경대102례 FS 환인수방2년,공발현13례(12.75%)발생후기전간,균래자 EEG 이상조,기중3례위미만성이상(13.64%),8례위액섭협구이상(88.89%),2례위정침협구이상(28.57%),액섭협구 EEG 이상FS 환인후기전간발생솔고우미만성 EEG 이상환인(χ2=16.11,P <0.01)。결론：액섭협구 EEG 이상 FS 환인후기전간적발생솔교고。
Objective:To investigate the relationship between the electroencephalogram(EEG)characteristics of the febrile seizure(FS)and the subsequent epilepsy.Method:102 children with FS who were diagnosed in our hospital were investigated.They were divided into two groups according to EEG:the normal group and the abnormal group.The EEG and compare the factor of epilepsy with EEG in different parts were analysed.Results:Of 102 pa-tients with FS,38 cases (37.25%)revealed EEG abnormal.Diffused EEG abnormality was 22 cases (57.89%), which was the highest,frontal and temporal paroxysmal EEG abnormality was 9 cases (23.69%),frontal and occip-ital lobe EEG abnormality was 7 cases (18.42%).Follow-up visit for two years,13 cases (12.75%)were diagnosed to epilepsy,diffused EEG abnormality was 3 cases (13.64%),frontal and temporal paroxysmal EEG abnormality was 8 cases (88.89%),frontal and occipital lobe EEG abnormality was 2 cases (28.57%).The difference between the abnormal EEG parts and factor of the epilepsy was statistically significant(P <0.01).Conclusion:These findings suggest that patients with FS presenting with frontal and temporal paroxysmal EEG abnormality may be at a high risk for epilepsy.
