睡眠中抽搐患者常规脑电图和动态脑电图比较

J4 ›› 2015, Vol. 14 ›› Issue (2): 57-59.

睡眠中抽搐患者常规脑电图和动态脑电图比较

1.大理学院保山附属医院，云南保山678000；2.腾冲县人民医院，云南腾冲679100

收稿日期:2014-02-25 出版日期:2015-02-15 发布日期:2015-02-15
作者简介:杨之兰，副主任医师，主要从事神经电生理及临床研究.

Comparison between Routine Electroencephalogram and Ambulatory Electroencephalogram in
Convulsions during Sleep

1. Affiliated Hospital of Dali University in Baoshan, Baoshan, Yunnan 678000, China; 2. People's Hospital of Tengchong County,
Tengchong, Yunnan 679100, China

Received:2014-02-25 Online:2015-02-15 Published:2015-02-15

摘要/Abstract

摘要：

目的:比较睡眠中抽搐（含睡眠+清醒抽搐）患者常规脑电图（REEG）和24 h动态脑电图（AEEG）检出痫样放电及痫性放
电率，从而指导临床医生选择脑电图检查方法。方法：常规脑电图组（I组）268例，描记清醒期30 min，动态脑电图组（II组）103
例（其中75例由I组检查阴性转至），描记包括清醒期和睡眠期在内的24 h脑电图，统计两组的痫样放电率及痫性放电率并进
行比较。结果：I组痫样放电56例（20.90%），II组痫样放电73例（70.87%）；I组痫性放电3例（1.12%），Ⅱ组痫性放电13例
（12.62%）。结论：动态脑电图组痫样放电及痫性放电率明显高于常规脑电图组（P <0.01），睡眠中抽搐（含睡眠+清醒抽搐）患
者行24 h动态脑电图检查明显优于常规脑电图检查。

关键词: 抽搐（睡眠中）, 常规脑电图, 动态脑电图

Abstract:

Objective: To compare routine electroencephalogram （REEG） and 24 - hour ambulatory electroencephalogram
（AEEG）in convulsions during sleep（including convulsions during sleep and when awake）, detect epileptiform discharges and
epileptic discharges and instruct clinicians to determine the kind of EEG. Methods: REEG（Group One） was used to record
electroencephalogram of 268 cases awake, AEEG（Group Two）was used to record 24-hour electroencephalogram of 103 cases during sleep and when awake , 75 cases of whome had been in Group One and transferred to Group Two after being examined negative.Epileptiform discharges and epileptic discharges of the two groups were compared. Results: 56 cases（20.90%）with epileptiform discharges were found in Group One and 73 cases（70.87%）with epileptiform discharges were found in Group Two. 3 cases（1.12%） with epileptic discharges were found in Group One and 13 cases（12.62%）with epileptic discharges were found in Group Two.Conclusion: Epileptiform discharges and epileptic discharges in AEEG were remarkably higher than in REEG （P<0.01）. For convulsions during sleep（including convulsions during sleep and when awake）, 24-hour AEEG was better than REEG.

Key words: convulsions during sleep, routine electroencephalogram, ambulatory electroencephalogram

中图分类号:

R741.041

杨之兰，赵祥，尹乐芬，宋丽君. 睡眠中抽搐患者常规脑电图和动态脑电图比较[J]. J4, 2015, 14(2): 57-59.

Yang Zhilan, Zhao Xiang, Yin Lefen, Song Lijun. Comparison between Routine Electroencephalogram and Ambulatory Electroencephalogram in
Convulsions during Sleep[J]. J4, 2015, 14(2): 57-59.