CAJ | 학술논문

目的：探讨病毒性脑炎急性期脑电图（EEG ）检查对预后评估的临床意义。方法：回顾性分析51例病毒性脑炎患者的临床资料，并在出院6个月后对EEG异常的50例患者进行预后评估。结果：51例中50例为异常EEG ，异常率为98％，其中轻度异常17例（33％），中度异常26例（51％），重度异常7例（14％）。规范化抗病毒治疗至少3周，出院半年时随访，17例原EEG轻度异常者中预后差者5例（29％），26例中度异常者中预后差者18例（69％），7例重度异常者预后均差（100％）。3组预后比较差异有统计学意义（P＜0．05），经线性趋势检验，3组的预后差率与EEG异常程度呈正相关。结论：EEG对病毒性脑炎的预后评估有重要的临床意义，病毒性脑炎患者急性期 EEG异常程度越重，预后越差。
목적：탐토병독성뇌염급성기뇌전도（EEG ）검사대예후평고적림상의의。방법：회고성분석51례병독성뇌염환자적림상자료，병재출원6개월후대EEG이상적50례환자진행예후평고。결과：51례중50례위이상EEG ，이상솔위98％，기중경도이상17례（33％），중도이상26례（51％），중도이상7례（14％）。규범화항병독치료지소3주，출원반년시수방，17례원EEG경도이상자중예후차자5례（29％），26례중도이상자중예후차자18례（69％），7례중도이상자예후균차（100％）。3조예후비교차이유통계학의의（P＜0．05），경선성추세검험，3조적예후차솔여EEG이상정도정정상관。결론：EEG대병독성뇌염적예후평고유중요적림상의의，병독성뇌염환자급성기 EEG이상정도월중，예후월차。
Objective:To investigate the clinical significance of EEG examination for the evaluation of abnormal degree and prognosis in viral encephalitis .Methods:A retropective analysis was conducted on 51 patients with viral encephalitis .The prognosis of viral encephalitis for 50 patients with abnormal EEG were evaluated and followed up 6 months after discharged from the hospital .Results:The abnormal rate of EEG was 98% (50/51 cases) .17(33 .3% ) were mildly abnormal;26(51% )were moderately abnormal;7(14% ) were severely abnormal .All cases were treated nomatively by antiviral agent for at least 3 weeks .After follow‐up for half a year or more ,there were 5(29% ) cases with poor prognosis in 17 pa‐tients with mild abnormal EEG ,18(69% ) cases in 26 patients of moderate abnormal EEG ,and 7(100% ) cases in 7 patients with severe abnormal EEG .According to the Chi‐square test ,three groups’s prognosis rate was statistically significant each other( P<0 .05) .After a linear trend test ,the poor prognosis rate of viral encephalitis was positive correlation with the degree of abnormal EEG .Conclusion:EEG is important to evaluate the prognosis of viral encephalitis in clinical practice .The more abnormal EEG ,the poorer prognosis .