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目的探讨床旁脑电图在昏迷患者脑电图监测的应用价值及分析总结其脑电图表现及与临床转归的关系。方法采用上海诺诚医疗器械有限公司生产的7128wm型16导便携式脑电图仪对我院42例昏迷患者进行床旁描记分析。结果慢波昏迷18例,死亡6例,占33.3%。β波昏迷6例,死亡3例,占50%,α波昏迷3例,死亡2例,睡梭波昏迷1例,好转。平坦波昏迷11例,死亡10例,占90.9%,棘-慢波发放2例,1例好转,1例不详。阵发-抑制波1例,死亡。结论床旁脑电图能较好的反映昏迷患者的脑功能损伤程度,对患者的指导治疗,判断预后提供重要的诊断依据。
Objective To investigate the value of bedside electroencephalogram (EEG) in the monitoring of electroencephalography (EEG) in patients with coma and to summarize its EEG findings and its relationship with clinical outcome. Methods Using the 7128wm 16-lead portable electroencephalograph produced by Shanghai Honest Medical Devices Co., Ltd., 42 cases of coma in our hospital were analyzed by bedside tracings. Results Slow wave coma in 18 cases, 6 patients died, accounting for 33.3%. β wave coma in 6 cases, 3 deaths, accounting for 50%, α wave coma in 3 cases, 2 deaths, sleepwalking coma in 1 case, improved. Flat wave coma in 11 cases, 10 patients died, accounting for 90.9%, Spin - wave release in 2 cases, 1 case improved, 1 case unknown. Paroxysm - suppression wave in 1 case, died. Conclusion The bedside electroencephalogram can better reflect the degree of brain injury in patients with coma and provide important diagnostic evidences for the patients’ treatment and prognosis.