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目的:探讨癫临床发作症状控制后,常规脑电图(REEG)和动态脑电图(AEEG)随访意义及脑电图(EEG)的异常情况。方法:采用SOLARROVER-8型AEEG仪,对2000至2005年随访的癫大发作临床发作控制后的86例患者,进行REEG和AEEG的监测。结果:REEG正常69例(80.%),异常17例(19.8%)。样波1例(5.9%),非特异性异常16例(94.1%)。AEEG正常36例(41.9%),异常50例(58.1%)。样波11例(22.0%),非特异性异常39例(78.0%)。两组阳性率差异有显著统计学意义,2=26.63,P<0.001。结论:AEEG用于研究癫控制后的脑电监测均优于REEG。控制后的脑电图异常以非特异性高幅阵发性θ、δ波为主。控制的年限越长脑电图异常率和样波发放率愈低。有利于抗癫药物疗效的观察和指导癫临床用药。
Objective: To investigate the significance of follow-up of routine electroencephalogram (EEG) and electroencephalogram (EEG) and the abnormality of electroencephalogram (EEG) after the clinical symptoms of epilepsy were controlled. METHODS: A total of 86 patients undergoing seizure control of a large epileptic seizure from 2000 to 2005 were monitored using a SOLARROVER-8 AEEG instrument for the detection of REEG and AEEG. Results: There were 69 cases (80.%) with REEG and 17 cases (19.8%) with abnormal REEG. One sample (5.9%) was found in the sample wave, and 16 cases (94.1%) were nonspecific abnormal. 36 cases (41.9%) had normal AEEG and 50 cases (58.1%) had abnormal AEEG. There were 11 cases (22.0%) of the sample wave and 39 cases (78.0%) of the nonspecific abnormalities. The difference between the two groups was statistically significant, 2 = 26.63, P <0.001. CONCLUSIONS: AEEG was superior to REEG in monitoring EEG monitoring after epileptic control. After the control of EEG abnormal non-specific high-frequency paroxysmal θ, δ-wave based. The longer the control of the EEG abnormal rate and the lower the sample wave rate. Is conducive to the anti-epileptic drug efficacy observation and guidance epilepsy clinical medication.