摘要
目的观察热性惊厥患者的临床与脑电图特征，并探讨其与日后癫痫发生的联系。方法选取我院2011年1月～2012年12月诊断的128例热性惊厥患者为研究对象，对其进行脑电图检查．并分析其与癫痫发生之间的联系。结果脑电图结果正常患者82例，占64．1％；脑电图异常46例，占35．9％。异常脑电图特征显示全导阵发性3．0～4．0Hz的棘慢波，且清醒与睡眠期均存在放电。脑电图异常与初发年龄、EP家族史、发热温度、热性惊厥类型、持续时间、24h内发作次数有关，共35例日后发生癫痫，发生率为76．1％。枕区和额区放电是日后癫痫发生的危险因素。结论临床中枕区和额区阵发性异常放电的热性惊厥患者日后更容易发生癫痫，临床中应引起足够的重视。
Objective To observe the clinical and EEG characteristics of febrile patients, and to explore its relationship with the incidence of epilepsy after. Methods Our hospital in January 2011-December 2012,128 cases diagnosed be- tween January febrile patients in this study, its EEG examination, and to analyze the linkages between the occurrence of epilepsy. Results A total of 82 patients with normal eeg results, compared with 64.1%; Abnormal electroencephalo- gram （eeg）, 46 cases was 35.9%. Abnormal electroencephalogram （eeg） features of the lead of 3.0-4.0 Hz paroxysmal spine slow wave, and awake and sleep phases are discharge. Eeg abnormalities and early age, family history of EP, heating temperature, heat convulsions type, duration, attack frequency of within 24 h, a total of 35 cases of epilepsy oc- curred in the future, the incidence was 76.1%. Pillow discharge area and frontal area is risk factors for epilepsy occur in the future. Conclusion The clinical paroxysmal occipital and frontal areas of abnormal discharge in patients with febrile seizures more likely to occur in future, the clinic should be taken seriously enough.
出处
《中国现代医生》
2014年第13期19-21,24,共4页
China Modern Doctor
基金
浙江省卫生厅医药卫生计划项目(2013KYB131)
关键词
热性惊厥
脑电图
癫痫
相关性
Febrile convulsions
EEG
Epilepsy
Relevance
