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目的:探讨癫癎患者在药物治疗中脑电图、发作诱因与再发的关系,企为临床治疗提供参考指标。方法:分别对97例青少年癫癎患者行脑电图检查并追踪再发情况,比较脑电图、发作诱因与临床再发之间的关系。结果:97例患者中有49例脑电图正常,其中9例(18％)有癫癎再发,48例脑电图异常,其中38例(79％)有癫癎再发。此38例癫癎再发分别属于Ⅰ、Ⅱ、Ⅲ型异常脑电图,相应各有8、11、19例再发。脑电图正常而出现癫癎再发的9例中,有诱因者8例(89％),无诱因者1例(11％),脑电图异常而出现癫癎再发的38例中,有诱因者20例(53％),无诱因者18例(47％)。结论:青少年癫癎患者抗癫癎治疗时的脑电图表现与临床再发有相关性,其中有癎样放电者出现再发可能性最大。脑电图正常时出现再发常有诱因,而脑电图异常时出现再发常缺乏诱因。
Objective: To investigate the relationship between electroencephalogram (EEG), seizure causes and recurrence in patients with epilepsy and to provide reference for clinical treatment. Methods: 97 cases of adolescent epilepsy patients underwent EEG examination and follow-up of recurrence were compared EEG, seizure incentives and the relationship between clinical recurrence. RESULTS: Of the 97 patients, 49 had normal EEG, of whom 9 (18%) had epilepsy recurrence and 48 had EEG abnormality, of which 38 (79%) had epileptic recurrence. The 38 cases of epilepsy recurrence belong to Ⅰ, Ⅱ, Ⅲ abnormal EEG, the corresponding 8,11,19 cases of recurrence. Of the 9 patients with normal EEG recurrence, 8 (89%) were induced, 1 (11%) had no cause, and 38 (38%) had EEG abnormality with recurrent epileptic. Twenty patients (53%) were induced and 18 (47%) were non-motivating. Conclusion: There is a correlation between the electroencephalogram (EEG) and anti-epileptic treatment in adolescent epilepsy patients. There is a high probability of recurrent recurrence among them. EEG recurrence often appear normal incentives, while the recurrence of EEG abnormalities often lack incentives.