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目的:探讨癫癎临床发作控制停药后的复发与动态脑电图(EEG)及相关因素的关系。方法:对1998年8月至2006年8月随访的癫癎控制后停药患者186例动态EEG的监测结果及有关因素进行分析。结果:在此186例中,有临床复发者51例(27.4%)。动态EEG监测始终正常组65例,临床复发6例,复发率为9.2%。EEG异常组121例,临床复发45例,复发率为37.2%。常规EEG与动态EEG异常率相比差异有显著意义,χ2=10.25,P<0.01。结论:停药后EEG异常者,临床复发率较高,应恢复规范的抗癫癎药物治疗。
OBJECTIVE: To investigate the relationship between the relapse after epidural seizure control and the dynamic electroencephalogram (EEG) and related factors. Methods: The monitoring results and related factors of 186 cases of dynamic EEG after stopping the epileptic control from August 1998 to August 2006 were analyzed. Results: Among the 186 cases, 51 cases were clinically relapsed (27.4%). The dynamic EEG monitoring was always in the normal group of 65 cases, 6 cases of clinical recurrence, the recurrence rate was 9.2%. 121 cases of abnormal EEG group, 45 cases of clinical recurrence, the recurrence rate was 37.2%. The difference between conventional EEG and dynamic EEG was significant (χ2 = 10.25, P <0.01). Conclusion: After stopping the EEG abnormalities, the clinical relapse rate is higher, should regain the standard anti-epileptic drug treatment.