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目的探讨视频脑电图(VEEG)对卒中后癫痫的临床应用价值。方法对98例卒中后发作性疾病患者进行连续24h监测,其中包括清醒、睡眠期,分析异常放电出现的时相,癫痫分型与异常放电的关系,临床发作前脑电图的改变,以及临床发作间期和发作期异常脑电图的不同表现。结果VEEG癫痫诊断阳性明显高于常规脑电图(REEG)(P<0.05)。结论视频脑电图监测可提高癫痫诊断阳性率,有助于卒中后癫痫的诊断及分型,指导临床用药。
Objective To investigate the clinical value of video electroencephalography (EEG) in the treatment of post-stroke epilepsy. Methods Ninety-eight patients with post-stroke seizures were monitored for 24 hours, including awake, sleep stage, analysis of the appearance of abnormal discharge, the relationship between epilepsy type and abnormal discharge, changes of electroencephalogram before clinical onset, Interictal and exacerbation of abnormal EEG different manifestations. Results The positive diagnosis of VEEG epilepsy was significantly higher than that of conventional electroencephalogram (REEG) (P <0.05). Conclusion Video EEG monitoring can increase the positive rate of diagnosis of epilepsy, contribute to the diagnosis and classification of epilepsy after stroke, and guide the clinical medication.