齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
JOURNAL OF QIQIHAR MEDICAL COLLEGE
2015年
24期
3650-3651
,共2页
病毒性脑炎%脑电图%诊断%预后
病毒性腦炎%腦電圖%診斷%預後
병독성뇌염%뇌전도%진단%예후
Viral encephalitis%EEG%Diagnosis%Prognosis
目的：探讨脑电图在病毒性脑炎诊断和预后判断中的应用价值。方法选取临床资料完整并经临床确诊的70例病毒性脑炎患者作为研究对象，入院后均行脑电图检查。结果本组70例患者中，63例脑电波异常，占90％；其中29例轻型患者，24例异常，异常率为82．76％；33例普通型患者，31例脑电波异常，异常率为93．94％；8例重型患者，8例脑电波异常，占100％。本组70例患者中，5例为正常波，占7．14％；25例弥漫性异常，占35．71％；21例局限性异常，占30％；17例阵发性异常，占24．29％。其中18例为高波幅，占25．71％；29例为中波幅，占41．43％；9例为低波幅，占12．86％；7例为痫样放电，占10％。9例低波幅病毒性脑炎患者，1例出现后遗症，占11．11％；7例痫样放电患者，3例出现后遗症，占33．33％，其中1例患者死亡，占14．29％。结论轻型和普通型出现弥漫性中波幅或高波幅慢波的几率相对高，重型以局限性、低波幅慢波为主，可用于病毒性脑炎病情诊断和预后评估中具有较高的应用价值。
目的：探討腦電圖在病毒性腦炎診斷和預後判斷中的應用價值。方法選取臨床資料完整併經臨床確診的70例病毒性腦炎患者作為研究對象，入院後均行腦電圖檢查。結果本組70例患者中，63例腦電波異常，佔90％；其中29例輕型患者，24例異常，異常率為82．76％；33例普通型患者，31例腦電波異常，異常率為93．94％；8例重型患者，8例腦電波異常，佔100％。本組70例患者中，5例為正常波，佔7．14％；25例瀰漫性異常，佔35．71％；21例跼限性異常，佔30％；17例陣髮性異常，佔24．29％。其中18例為高波幅，佔25．71％；29例為中波幅，佔41．43％；9例為低波幅，佔12．86％；7例為癇樣放電，佔10％。9例低波幅病毒性腦炎患者，1例齣現後遺癥，佔11．11％；7例癇樣放電患者，3例齣現後遺癥，佔33．33％，其中1例患者死亡，佔14．29％。結論輕型和普通型齣現瀰漫性中波幅或高波幅慢波的幾率相對高，重型以跼限性、低波幅慢波為主，可用于病毒性腦炎病情診斷和預後評估中具有較高的應用價值。
목적：탐토뇌전도재병독성뇌염진단화예후판단중적응용개치。방법선취림상자료완정병경림상학진적70례병독성뇌염환자작위연구대상，입원후균행뇌전도검사。결과본조70례환자중，63례뇌전파이상，점90％；기중29례경형환자，24례이상，이상솔위82．76％；33례보통형환자，31례뇌전파이상，이상솔위93．94％；8례중형환자，8례뇌전파이상，점100％。본조70례환자중，5례위정상파，점7．14％；25례미만성이상，점35．71％；21례국한성이상，점30％；17례진발성이상，점24．29％。기중18례위고파폭，점25．71％；29례위중파폭，점41．43％；9례위저파폭，점12．86％；7례위간양방전，점10％。9례저파폭병독성뇌염환자，1례출현후유증，점11．11％；7례간양방전환자，3례출현후유증，점33．33％，기중1례환자사망，점14．29％。결론경형화보통형출현미만성중파폭혹고파폭만파적궤솔상대고，중형이국한성、저파폭만파위주，가용우병독성뇌염병정진단화예후평고중구유교고적응용개치。
Objective To explore the application value of electroencephalogram in diagnosis and prognosis of viral encephalitis.Methods Selected integrity clinical data, 70 cases with viral encephalitis patientsdiagnosedastheresearchobject,AfteradmissionunderwentEEG.Results 63casesofabnormalbrain waves in 70 patients, accounting for 90%;of which 29 cases of mild cases, 24 cases of abnormal, the abnormal rate was 82.76%;33 cases of patients with common type, 31 cases of abnormal brain waves, the abnormal rate was 93.94%;8 cases of severe patients, 8 cases of abnormal brain waves, accounted for 100%.This group of 70 patients, 5 cases was normal wave, accounted for 7.14%;25 cases of diffuse abnormality, accounting for 35. 71%;21 cases of localized abnormality, accounting for 30%, 17 cases of paroxysmal abnormality, accounting for 24.29%.18 cases of high amplitude, accounted for 25.71%;29 cases of amplitude, accounted for 41.43%;9 cases of low amplitude, accounted for 12.86%, 7 cases of epileptiform discharges, accounted for 10%.9 cases of low amplitude in patients with viral encephalitis sequela, occurred in 1 cases, accounted for 11.11%;7 cases of epileptiform discharges, 3 cases had sequela, accounted for 33.33%, 1 patients died, accounted for 14.29%. Conclusions Light and ordinary type showed diffuse in amplitude or high amplitude slow wave probability is relatively high, heavy with limitation, low amplitude slow wave, has a higher application value in the diagnosis and prognosis of viral encephalitis illness.
