视频脑电图在脑梗死继发癫痫早期诊断及预后评估中的应用 |
| 刘兵 |
| 盐城市滨海县人民医院，江苏盐城，224500 |
| 摘要：目的? 探讨和分析视频脑电图在脑梗死继发癫痫早期诊断和预后评估中的应用效果。方法? 选择2022年6月至2024年5月滨海县人民医院诊治的80例脑梗死继发癫痫患者作为研究对象。所有患者均使用视频脑电图（EEG）和常规脑电图进行诊断，并比较早期诊断结果；同时对预后进行了评估。结果? 视频脑电图对异常脑电图的检出率明显高于常规脑电图，差异有统计学意义（P<0.05）。不同检查方法和卒中部位的异常脑电图检出率没有显著差异（P>0.05），但视频脑电图的总体检出率明显高于常规脑电图，差异具有统计学意义（P<0.05）。复发组无异常的概率明显低于非复发组，差异有统计学意义（P<0.05）。不同的用药方法对癫痫复发影响不大（P>0.05）。结论? 视频脑电图在脑梗死继发癫痫的早期诊断和预后评估中的应用具有较高的诊断准确性，可以及时发现病变，为后续治疗提供有效参考。同时，它还可以有效地评估患者的预后，并根据预后调整治疗计划，以确保治疗效果。 |
| 关健词：视频脑电图；脑梗死继发癫痫；早期诊断；预后 |
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| Application of Video Electroencephalography in Early Diagnosis and Prognostic Evaluation of Epilepsy Secondary to Cerebral Infarction |
| Bing Liu |
| Yancheng Binhai County People's Hospital, Yancheng Jiangsu 224500，China |
| Abstract：Objective To explore and analyze the application effect of video electroencephalogram in the early diagnosis and prognosis evaluation of epilepsy secondary to cerebral infarction. Methods 80 patients with secondary epilepsy caused by cerebral infarction treated at Binhai County People's Hospital from June 2022 to May 2024 were selected as the research subjects. All patients were diagnosed using video electroencephalography (EEG) and routine EEG, and early diagnostic results were compared; At the same time, the prognosis was evaluated.Results The detection rate of abnormal EEG in video EEG was signiffcantly higher than that in conventional EEG, and the difference was statistically signiffcant (P0.05), but the overall detection rate of video EEG was signiffcantly higher than that of conventional EEG, and the difference was statistically significant (P0.05).Conclusion The application of video electroencephalogram in the early diagnosis and prognosis evaluation of epilepsy secondary to cerebral infarction has high diagnostic accuracy, which can timely detect lesions and provide effective reference for subsequent treatment. At the same time, it can also effectively evaluate the prognosis of patients, and adjust the treatment plan according to the prognosis to ensure the treatment effect. |
| Keywords：Video EEG; Secondary epilepsy after cerebral infarction; Early diagnosis; prognosis |
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