摘要
目的 探讨神经重症监护联合长程视频脑电监测救治模式在难治性癫痫持续状态患者中的临床应用效果。方法 选取2018年5月至2020年5月赣州市人民医院神经外科重症监护室ICU收治的78例难治性癫痫持续状态患者作为研究对象,采用随机数字表法将其分为参照组(39例)和研究组(39例)。参照组患者采用神经重症监护干预,研究组患者采用神经重症监护联合长程视频脑电监测救治干预。比较两组患者的临床病情控制有效率、发作控制时间、插管时间、神经系统功能障碍发生率。结果 研究组患者的临床病情控制有效率高于参照组,差异有统计学意义(P<0.05);研究组患者的发作控制时间、插管时间短于参照组,差异有统计学意义(P<0.05);研究组患者的神经系统功能障碍发生率低于参照组,差异有统计学意义(P<0.05)。结论 难治性癫痫持续状态患者治疗期间应用神经重症监护联合长程视频脑电监测救治模式的干预效果显著,能够有效控制临床病情,缩短发作控制时间和插管时间,降低神经系统功能障碍发生率。
Objective To investigate the clinical application effect of neurological intensive care combined with long range video electroencephalogram monitoring in patients with refractory status epilepticus.Methods A total of 78 patients with refractory status epilepticus who were admitted to ICU of Department of Neurosurgery,Ganzhou People′s Hospital from May 2018 to May 2020 were selected as the research subjects.They were divided into the reference group(39 patients)and the study group(39 patients)by the random number table method.Patients in the reference group were treated with neurological intensive care intervention,and patients in the study group were treated with neurological intensive care combined with long range video electroencephalogram monitoring intervention.The clinical disease control effect rate,attack control time,intubation time and incidence of nervous system dysfunction were compared between the two groups.Results The effective rate of clinical disease control in the study group was higher than that in the reference group,and the difference was statistically significant(P<0.05).The attack control time and intubation time of patients in the study group were shorter than those in the reference group,and the differences were statistically significant(P<0.05).The incidence of neurological dysfunction in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion During the treatment of patients with refractory status epilepticus,the application of neurological intensive care combined with long range video electroencephalogram monitoring has a significant effect,which can effectively control the clinical condition,shorten the attack control time and intubation time,and reduce the incidence of neurological dysfunction.
作者
张金石
李意华
曾海兰
骆飞
唐知己
杨瑞金
ZHANG Jinshi;LI Yihua;ZENG Hailan;LUO Fei;TANG Zhiji;YANG Ruijin(Department of Neurosurgery,Ganzhou People′s Hospital,Jiangxi Province,Ganzhou341000,China)
出处
《中国当代医药》
CAS
2022年第10期75-77,共3页
China Modern Medicine
基金
江西省赣州市科技计划项目(赣州科发[2019]60号)。
关键词
难治性癫痫
持续状态
神经重症监护
长程视频脑电监测
Refractory epilepticus
Status
Neurological intensive care
Long range video electroencephalogram monitoring
