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目的:探讨脑电图在急性重型、中型脑外伤后早期癫痫中的应用效果。方法:收集急性重型、中型脑外伤患者共80例。观察本组急性重型脑外伤与中型脑外伤患者及不同GCS评分早期癫痫的发生情况。结果:本组80例急性重型、中型脑外伤患者中,经脑电图测定表现出癫痫样表现16例,发生率为20.00%;急性重型脑外伤者中4例(10.00%)出现癫痫,中型脑外伤者中12例(30.00%)出现癫痫(P<0.05);GCS评分3~5分患者早期癫痫的发生率为33.33%,显著高于6~8分的12.00%及9~12分的6.67%(P<0.05)。结论:针对急性重型、中型脑外伤患者行脑电图测定,便于临床掌握早期癫痫的发生情况,为进一步防治工作提供有效的参考信息。
Objective: To investigate the effect of electroencephalogram in early epilepsy after acute traumatic brain injury. Methods: A total of 80 patients with acute or severe traumatic brain injury were collected. The incidence of early epilepsy in patients with acute severe traumatic brain injury and mid-traumatic brain injury and with different GCS scores was observed. Results: Among the 80 patients with acute and severe traumatic brain injury, 16 cases showed epileptiform manifestation by EEG, the incidence rate was 20.00%. In 4 cases (10.00%) of acute severe traumatic brain injury, there were epilepsy, moderate Epilepsy was found in 12 (30.00%) patients with brain injury (P <0.05). The incidence of early epilepsy was 33.33% in patients with GCS score 3 to 5, significantly higher than 12.00% and 9-12 in 6 to 8 6.67% (P <0.05). Conclusion: EEG measurements in patients with acute severe and moderate traumatic brain injury may facilitate the clinical mastery of the occurrence of early epilepsy and provide effective reference information for further prevention and treatment.