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部分剥夺睡眠在癫痫患儿动态脑电图检测中的应用
作者:陈凤平 
单位:盐城市第四人民医院 脑电图室, 江苏 盐城 224000
关键词:常规脑电图 动态脑电图 部分剥夺睡眠 痫样放电 癫痫 儿童 
分类号:R742.1;R741.044
出版年·卷·期(页码):2019·47·第五期(570-573)
摘要:

目的:探讨部分剥夺睡眠是否提高动态脑电图(dEEG)对癫痫的检出率。方法:对2017年3月至2018年8月本院68例拟诊为癫痫患儿先行常规脑电图(rEEG)描记和dEEG检测,2周后对这些患儿采取部分剥夺睡眠后再行rEEG描记和dEEG检测。比较rEEG描记与dEEG检测在未剥夺与部分剥夺睡眠条件下的检出率。结果:68例拟诊癫痫患儿未剥夺睡眠和部分剥夺睡眠两个时期的rEEG描记与dEEG检测相比,非特异性异常检出率差异均无统计学意义(P>0.05),但痫样放电和总异常检出率差异均有统计学意义(P<0.05)。在痫样放电、非特异性异常和总异常检出率方面,未剥夺睡眠时与部分剥夺睡眠时初始30 min rEEG描记结果相比,差异均无统计学意义(P>0.05);而此后的dEEG检测结果显示,两个时期虽然非特异性异常检出率比较差异无统计学意义(P>0.05),但痫样放电及总异常检出率比较差异均有统计学意义(P<0.05)。结论:部分剥夺睡眠时在初始30 min对癫痫患儿的rEEG描记结果无明显影响,但会提高dEEG检测对痫样放电和总异常的检出率,值得临床推广。

Objective:To investigate whether partial sleep deprivation increases the detection rate of epilepsy in children by dynamic electroencephalogram(dEEG). Methods:Sixty-eight cases of children with suspected epilepsy in our hospital from March 2017 to August 2018 were firstly detected by routine electroencephalogram(rEEG) and dEEG. Two weeks later, all children were deprived of 3-5 hours of sleep before rEEG and dEEG. Detection rates of rEEG and dEEG were compared between normal sleep and partial sleep deprivation. Results:There was no significant difference in the detection rate of non-specific abnormality between rEEG and dEEG in 68 suspected epileptic children without sleep deprivation and partial sleep deprivation(P>0.05), and there was no significant difference between the two groups(P>0.05). But there was a significant difference between epileptiform discharge and total abnormal detection rate(P<0.05). In terms of epileptiform discharge, non-specific abnormality and total abnormal detection rate, there was no significant difference between sleep deprivation and partial sleep deprivation in rEEG recording results(P>0.05), but there was no significant difference between non-sleep deprivation and partial sleep deprivation(P>0.05). The results of dEEG showed that although there was no significant difference in non-specific abnormal detection rate between the two periods, there was a significant difference in epileptiform discharge and total abnormal detection rate between the two periods(P<0.05). Conclusion:Partial deprivation of sleep does not affect the rEEG tracing results of the epileptic children, butimproves the detection rate of the dEEG detection on the epileptiform discharge and the total abnormality, and is worthy of clinical popularization.

参考文献:

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