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目的 比较惊厥性癫痫持续状态 (CSE)和非惊厥性癫痫持续状态 (NCSE)的临床诊断和治疗 ,以提高对NCSE的临床诊疗水平。方法 对 71例临床发作和脑电图检查符合癫痫持续状态的病例进行分析。结果 5 1例CSE和 2 0例NCSE比较 :1.NCSE组临床表现多样。 2 .发作平均持续时间不同 ,CSE 3.5± 2 .9h ,NCSE6 .1± 4.9d。 3.CSE与NCSE脑电图表现不同。 4.2 4h内明确诊断者CSE和NCSE分别为 10 0 %和 2 5 %。 5 .开始治疗至临床发作控制的时间CSE 1.1± 0 .9d ,NCSE 5 .3± 4.1d(P <0 .0 1)。结论 NCSE为癫痫持续状态的常见类型 ,与CSE相比具有更为复杂的临床和脑电图表现以及治疗时间长等特点。
Objective To compare the clinical diagnosis and treatment of convulsive status epilepticus (CSE) and nonconvulsive status epilepticus (NCSE) to improve the clinical diagnosis and treatment of NCSE. Methods 71 cases of clinical seizures and electroencephalography consistent with status epilepticus were analyzed. Results 51 cases of CSE and 20 cases of NCSE comparison: 1.NCSE group of clinical manifestations. 2. The average duration of attack was different, CSE 3.5 ± 2 .9h, NCSE6. ± 4.9d. 3.CSE and NCSE EEG performance. 4.2 4h clear diagnosis of CSE and NCSE were 10 0% and 25%. 5. The time to start treatment until clinical seizure control was 1.1 ± 0. 9 days and NCSE was 5.3 ± 4.1 days (P <0.01). Conclusions NCSE is a common type of status epilepticus and has more complex clinical and electroencephalographic findings and longer duration of treatment than CSE.