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目的:探讨视频脑电图对癫的诊断价值及其适用性。方法:对117例发作性疾病患者进行视频脑电图监测后进行分析比较。结果:117例患者视频脑电图共诊断癫37例,诊断阳性率27.4%;60例临床未诊断癫患者中,视频脑电图比常规脑电图诊断阳性率高(11例)18.3%(P=0.04);57例临床诊断癫患者中,有5例临床诊断的癫分型与其发作时临床表现不符,不符合率为8.8%。结论:视频脑电图可以提高癫诊断率及分型的准确性,有利于指导临床合理用药。
Objective: To explore the diagnostic value of video electroencephalography for epilepsy and its applicability. Methods: One hundred and seventy-one patients with seizures were analyzed by video EEG. Results: Of the 117 patients, 37 cases were diagnosed epilepsy by video EEG, the positive rate was 27.4%. Among the 60 cases of non-diagnosed epilepsy, the frequency of video EEG was higher than that of conventional EEG (11 cases) 18.3 % (P = 0.04). Out of 57 cases with clinical diagnosis of epilepsy, 5 cases of clinical diagnosis of epilepsy were not matched with their clinical manifestations at the time of onset, and the rate of coincidence was 8.8%. Conclusion: Video EEG can improve the diagnosis rate of epilepsy and the accuracy of typing, is conducive to guiding clinical rational use of drugs.