|本期目录/Table of Contents|

[1]张永梅,陈桂生,戴秀英,等.宁夏农村癫痫患者脑电图检查结果分析[J].宁夏医科大学学报,2013,(03):289-292.
 ZHANG Yong-mei,CHEN Gui-sheng,DAI Xiu-ying,et al.The Characteristics of ECG in Patients with Epilepsy in Ningxia Rural Areas[J].Ningxia Medical University,2013,(03):289-292.
点击复制

宁夏农村癫痫患者脑电图检查结果分析(PDF)
分享到:

《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2013年03期
页码:
289-292
栏目:
论著
出版日期:
2013-03-20

文章信息/Info

Title:
The Characteristics of ECG in Patients with Epilepsy in Ningxia Rural Areas
作者:
张永梅1 陈桂生1 戴秀英2 王颖丽2 王晓娟2
1.宁夏医科大学总医院神经内科,银川 750004; 2.宁夏医科大学心身医学科,银川 750004
Author(s):
ZHANG Yong-mei1 CHEN Gui-sheng1 DAI Xiu-ying2 WANG Ying-li2 WANG Xiao-juan2
1.Ningxia Medical University,the Physician Nerve of General Hospital, Yinchuan 750004; 2.Ningxia Medical University,Physicians Psychosomatic All-around-doctors,Yinchuan 750004
关键词:
癫痫 脑电图 宁夏 农村
Keywords:
epilepsy EEG Ningxia rural
分类号:
R742.1
DOI:
-
文献标志码:
A
摘要:
目的 探讨宁夏农村癫痫患者的脑电图特点,为癫痫防治提供参考。方法 采取整群抽样方法对宁夏吴忠、贺兰、中卫、永宁4个市县随机抽取的210例确诊癫痫的患者无偿行常规脑电图及诱发实验检查,对脑电图结果以发病年龄、性别、遗传因素分组进行统计分析。结果(1)210份脑电图正常30份,异常180份,脑电图异常率为85.7%。(2)共检出癫痫放电84份,占异常脑电图的比例为46.7%; 其中检出颞叶癫痫波58份,占69.0%。(3)癫痫初次发病年龄为14岁以下的儿童组脑电图异常率为92.7%,初次发病为14岁以上的成人组脑电图异常率为78%,儿童组明显高于成人组(P<0.01)。(4)有癫痫家族史患者20例,无家族史患者190例,二者脑电图异常率差异无统计学意义(P>0.05)。结论 宁夏农村癫痫患者发病年龄为儿童组的脑电图异常率高、脑电图癫痫波以颞区多见,未发现遗传因素对癫痫患者脑电图异常率有明显影响。
Abstract:
Objective To explore the characteristics of EEG in patients with epilepsy in Ningxia rural areas, to provide reference for the prevention and treatment of epilepsy. Methods Using cluster sampling method, 210 patients with epilepsy of 4 counties were randomly selected from the free routine EEG and evoked experimental examination. EEG results were analyzed based on age, gender, genetic factors. Results(1)Of 210 patients, normal EEG in 30 copies, abnormal EEG in 180, the abnormal rate of EEG was 85.7%.(2)84 patients showed epileptic discharge, accounting for 46.7%. 58 patients showed temporal lobe epilepsy wave, accounted for 69%.(3)Abnormal rate of EEG was 92.7% in patients onset age under 14 while abnormal rate of EEG was 78% in patients onset age above 14(P<0.01). Conclusion Abnormal rate of EEG is higher in patients with earlier onset age(under 14. EEG showed more temporal lobe epilepsy wave.

参考文献/References:

[1] 大熊辉雄,临床脑电图学[M].5版.北京:清华大学出版社,2005:34-42,96-97.
[2] 孔峰,李靖婕,张璘,等.动态脑电图对癫痫诊断和鉴别诊断的探讨[J].河南实用神经疾病杂志,1999,2(5):6-7.
[3] 来华安,何惠林,姚凤贵.2518例癫痫的脑电图变化分析[J].陕西医学杂志,1997,26(1):31-34.
[4] 李洪亮,赵卫兵,顾冲,等.140例癫痫之CT规范化脑电图比较[J].脑与神经疾病杂志,2007,15(6):435-442.
[5] 廖卫平.癫痫的临床发作类型[J].中国全科医学,2001.4(6):428-430.
[6] WANG Wenzhi,WU Jianzhong,WANG Desheng,et al.Epidemiological survey on epilepsy among rural populations in five provinces in China [J].Nationgal Medical Journal of China,2002(7):449-452.
[7] 沈廉娟,黎瑞春,孙道开.丙戊酸钠和卡马西平对脑电图的影响[J].临床脑电学杂志,1998,7(1):38-40.
[8] JOHN R.HUGHES,临床实用脑电图学[M].2版.北京:人民卫生出版社,1998.
[9] 李世绰,程学铭,王文志,等.神经系统流行病学[M].北京:人民卫生出版社,2000:117-123.
[10] 李志梅,王维平.颞叶癫痫患者临床特征、ApoE 基因多态性、生活质量及认知功能的研究[D].河北医科大学,2007,6:1-11.
[11] Crompton DE,Scheffer IE,Taylor I,et al.Familial mesial temporal lobe epilepsy:a benign epilepsy syndrome shouing complen inheritance[J].Brain,2010,133(11):3221-3231.
[12] 齐兆鹏,金澎,杨新生.颞叶癫痫发病机制的研究进展[J].国际神经病学神经外科学杂志,2009,36(5):437-440.
[13] 毕带好.315例小儿癫痫的临床与脑电图分析[J].实用医技杂志,2005,12(7):1750-1751.
[14] 李明,薛付忠, 车峰远.癫痫发病危险因素及原发性癫痫遗传流行病学研究[D].山东大学,2010:1-2,51-52.
[15] 解学孔.癫痫病学[M].北京:人民卫生出版社,2000:77-79.

相似文献/References:

[1]郭 克,扈启宽.小鼠癫痫持续状态时组蛋白H3K9二甲基化水平 的变化及其调控作用[J].宁夏医科大学学报,2013,(07):748.
 GUO Ke,HU Qi-kuan.Alteration of Dimethylation Level of Histone 3 Lysine 9 during Status Epilepticus and Its Impact in Mice[J].Ningxia Medical University,2013,(03):748.
[2]王 露,金梅花,徐清斌,等.原发性高血压患者血管紧张素Ⅱ-2型受体基因C3123A 多态性及其相关因素的研究[J].宁夏医科大学学报,2013,(04):382.
 WANG Lu,JIN Mei-hua,XU Qing-bin,et al.Relationship between C3123A Polymorphism of AngiogenesisⅡ Type 2 Receptor Gene and Essential Hypertension of Hans in Ningxia[J].Ningxia Medical University,2013,(03):382.
[3]杨 炬,王 雯,高 洁,等.宁夏职业暴露人群和环境高致病性禽流感感染情况调查[J].宁夏医科大学学报,2013,(03):286.
 YANG Ju,WANG Wen,GAO Jie,et al.Investigation of Avian Influenza A Virus Infection among Occupational Exposed Population of Ningxia[J].Ningxia Medical University,2013,(03):286.
[4]李海军,杨媛媛,周莉薇,等.2010年宁夏人群乙肝表面抗体特征分析[J].宁夏医科大学学报,2013,(03):280.
 LI Hai-jun,YANG Yuan-yuan,ZHOU Li-wei,et al.The Characteristics on Hepatitis B Surface-antibodyof Healthy People of Ningxia in 2010[J].Ningxia Medical University,2013,(03):280.
[5]雷 娇,张立明.宁夏与东北短梗五加不同部位黄酮含量比较[J].宁夏医科大学学报,2013,(02):157.
 LEI Jiao,ZHANG Li-ming.Comparison Study of Total Flavonoid in Parts of Acanthopanax Sessiliflorus Seem between Ningxia and Northeast Areas[J].Ningxia Medical University,2013,(03):157.
[6]周路平,吴惠忠,尤文宁,等.2011年宁夏居民碘营养现况调查[J].宁夏医科大学学报,2013,(01):55.
 ZHOU Lu-ping,WU Hui-zhong,YOU Wen-ning,et al.The Survey of Iodine Nutrition in Ningxia Residents in 2011[J].Ningxia Medical University,2013,(03):55.
[7]靳 峰,李 丽,宋晓佳,等.2010年宁夏布鲁氏菌病重点人群流行病学现况调查分析[J].宁夏医科大学学报,2013,(01):49.
 JIN Feng,LI Li,SONG Xiai-jia,et al.An Epidemiology Investigation of the Brucellosis in Key Population of Ningxia in 2010[J].Ningxia Medical University,2013,(03):49.
[8]石 青,张灵武,孙 涛,等.丙戊酸钠和拉莫三嗪对雌性癫痫大鼠血清性激素水平的影响[J].宁夏医科大学学报,2013,(01):18.
 SHI Qing,ZHANG Ling-wu,SUN Tao,et al.Effects of Valproate and Lamotrigine Acid on Serum Sex Hormone Levels in Female Rats with Epilepsy[J].Ningxia Medical University,2013,(03):18.
[9]李鸿成,慕 明,谢 峰,等.宁夏地区2006~2011年尘肺病新发病例现况分析[J].宁夏医科大学学报,2013,(09):998.
 LI Hongcheng,Mu Ming,Xie Feng,et al.Analysis on New Cases of Pneumoconiosis in Ningxia Region from 2006 to 2011[J].Ningxia Medical University,2013,(03):998.
[10]王志忠,王俊峰,张毓洪,等.宁夏地区成人失眠现况及影响因素分析[J].宁夏医科大学学报,2013,(09):994.
 WANG Zhizhong,WANG Junfeng,ZHANG Yuhong,et al.An Investigation of Insomnia Status and the Risk Factors in Ningxia[J].Ningxia Medical University,2013,(03):994.

备注/Memo

备注/Memo:
收稿日期:2012-08-23 基金项目:美国国立卫生研究所(NIH)资助国际合作项目“中国农村癫痫人口遗传学研究”(R21NS069223) 作者简介:张永梅,女,主治医师,学士,从事神经内科临床工作 通信作者:陈桂生,男,副教授,硕士研究生导师,从事神经内科临床及科研工作,擅长癫痫研究。
更新日期/Last Update: 2013-03-20