摘要
目的:探讨24h动态脑电图(AEEG)监测技术在神经外科患者中的应用价值。方法:分析过去3年神经外科86例行24h动态脑电图的患者AEEG结果,与临床预后进行相关性分析。结果:AEEG分级与格拉斯哥评分(GCS)评分呈负相关。AEEG分级越高,患者预后越差。AEEG表现为频率越慢,波幅越低甚至呈平坦波改变,提示脑损害越严重,预后也越差。监测还可及时检出痫样波的发作,据此调整临床用药。结论:AEEG监测对于急性危重神经外科患者的病情监测、预后判断、临床用药治疗都有重要的临床应用价值。
Objective： To stndy the role of 24 hours ambulatory electroencephalogram （ AEEG ） monitoring in Department of Neurosurgery patients. Method： Analysed 24 hours dynamic EEG findings in 86 cases of patients in Department of Neurosurgery in recent years, and studied 24 hours dynamic EEG and clinieal prognosis. Results： The AEEG grade, the poorer the prognosis was. ges, suggested that the brain grading damage was negatively correlated with GCS score. The higher the AEEG AEEG showed slower lower frequency, amplitude and a fiat wave chan- more serious, the prognosis is also worse. Monitoring can also detect epileptiform wave attack, adjust the clinical medication. Conclusion： AEEG monitoring for acute critically ill patients in Department of Neurosurgery disease surveillance, prognosis, clinical drug treatment has important clinical application value.
出处
《河北医学》
CAS
2013年第9期1334-1337,共4页
Hebei Medicine
关键词
动态脑电图
神经外科
格拉斯哥昏迷量表
监测
预后
Dynamic EEG
Department of Neurosurgery
Glasgow coma scale
Monitoring
Prognosis
