中国实用医刊
中國實用醫刊
중국실용의간
Chinese Journal of Practical Medicine
2015年
21期
31-32
,共2页
重症脑功能损伤%脑电图%分级标准
重癥腦功能損傷%腦電圖%分級標準
중증뇌공능손상%뇌전도%분급표준
Severe brain damage%EEG%Grading standards
目的：探讨重症脑功能损伤的脑电图分级标准。方法144例重症脑功能损伤患者均给予动态脑电图监测，记录患者治疗结局并分析与Lavizzari、Synek分级情况相关性。结果 Lavizzari分级结果中I级与Synek分级对比差异未见统计学意义（ P＞0．05），Ⅱ级、Ⅲ级人数显著高于Synek分级，而Ⅳ级、Ⅴ级均较Synek分级显著减少（P＜0．05）；Lavizzari分级预测生存准确率与Synek分级对比差异未见统计学意义（P＞0．05），而Lavizzari分级预测死亡准确率仅为84．55％，显著低于Synek分级预测死亡准确率（95．91％，P＜0．05）。结论重症脑功能损伤患者经动态脑电图监测后，给予Synek分级较Lavizzari分级结果更为准确，临床医生应掌握此类患者脑电图及分级特点，给予准确分级后评估患者实际情况并实施针对性的治疗方法，保障患者疗效及预后。
目的：探討重癥腦功能損傷的腦電圖分級標準。方法144例重癥腦功能損傷患者均給予動態腦電圖鑑測，記錄患者治療結跼併分析與Lavizzari、Synek分級情況相關性。結果 Lavizzari分級結果中I級與Synek分級對比差異未見統計學意義（ P＞0．05），Ⅱ級、Ⅲ級人數顯著高于Synek分級，而Ⅳ級、Ⅴ級均較Synek分級顯著減少（P＜0．05）；Lavizzari分級預測生存準確率與Synek分級對比差異未見統計學意義（P＞0．05），而Lavizzari分級預測死亡準確率僅為84．55％，顯著低于Synek分級預測死亡準確率（95．91％，P＜0．05）。結論重癥腦功能損傷患者經動態腦電圖鑑測後，給予Synek分級較Lavizzari分級結果更為準確，臨床醫生應掌握此類患者腦電圖及分級特點，給予準確分級後評估患者實際情況併實施針對性的治療方法，保障患者療效及預後。
목적：탐토중증뇌공능손상적뇌전도분급표준。방법144례중증뇌공능손상환자균급여동태뇌전도감측，기록환자치료결국병분석여Lavizzari、Synek분급정황상관성。결과 Lavizzari분급결과중I급여Synek분급대비차이미견통계학의의（ P＞0．05），Ⅱ급、Ⅲ급인수현저고우Synek분급，이Ⅳ급、Ⅴ급균교Synek분급현저감소（P＜0．05）；Lavizzari분급예측생존준학솔여Synek분급대비차이미견통계학의의（P＞0．05），이Lavizzari분급예측사망준학솔부위84．55％，현저저우Synek분급예측사망준학솔（95．91％，P＜0．05）。결론중증뇌공능손상환자경동태뇌전도감측후，급여Synek분급교Lavizzari분급결과경위준학，림상의생응장악차류환자뇌전도급분급특점，급여준학분급후평고환자실제정황병실시침대성적치료방법，보장환자료효급예후。
Objective To investigate the EEG grading standards of severe brain injury.Meth-ods The 144 cases of severe brain injury were given ambulatory EEG monitoring, recording and analysis of the outcome of patients treated with Lavizzari, Synek grading circumstances relevant, given statistical analysis concluded.Results Lavizzari classification results in Class I and Synek classification compari-son had no significant difference( P>0.05) , class II, III level number was significantly higher than Syn-ek classification, while Class IV, V level than Synek classification significantly reduced ( P <0.05 );Lavizzari classification accuracy of the prediction of survival and Synek classification comparison had no significant difference( P>0.05 ) , while Lavizzari graded accurately predicted death rate was 84.55%, which was significantly lower than predicted mortality Synek classification accuracy rate ( 95.91%, P<0.05).Conclusions Dynamic EEG monitoring for patients with severe brain injury, can give Synek classification more accurate results than the Lavizzari classification, clinicians should understand the characteristics of the EEG and classification, to give an accurate assessment of the patient classification actual situation and implement targeted treatment, protect the outcomes and prognosis.
