基础医学与临床 ›› 2019, Vol. 39 ›› Issue (2): 285-288.

• 医学教育 • 上一篇    下一篇

脑电图监测下癫痫发作期问诊和查体的现状

林一聪,王玉平   

  1. 首都医科大学宣武医院
  • 收稿日期:2018-11-15 修回日期:2018-12-18 出版日期:2019-02-05 发布日期:2019-01-16
  • 通讯作者: 王玉平 E-mail:doctorwangyuping@163.com
  • 基金资助:
    北京市教育委员会课题;首都卫生发展科研专项项目

Current status of ictal testing during video-EEG monitoring

  • Received:2018-11-15 Revised:2018-12-18 Online:2019-02-05 Published:2019-01-16
  • Supported by:
    Beijing Municipal Education Commission;Capital's Funds for Health Improvement and Research

摘要: 目的 在癫痫专业轮转培训中,发作症状学的教学是重点也是难点,但发作期问诊和查体并不是常规培训项目。调查宣武医院神经内科医护人员的癫痫发作期问诊和查体的现状,为癫痫专业医护轮转培训方法的改进提供指导意见。方法 自行设计问卷,通过微信向神经内科医护人员进行调查,内容包含医护人员一般情况、癫痫发作期问诊和查体现状、问卷培训后效果评价等。结果 问卷发出75份,共回收57份。医护人员在发作期问诊和查体不够全面,对检查的临床意义认识欠佳。问卷培训后,全部人员知晓了发作期问诊和查体的意义,且会在未来工作中应用。结论 应改进癫痫专业医护教学培训方法,增加发作期问诊和查体实践培训,提高培训效能及病区诊疗水平。

关键词: 视频脑电图监测, 癫痫

Abstract: Objective In the training of epilepsy rotation, the teaching of semiology is the focus and difficulty, but the ictal testing is not included in regular training. By investigating the current situation of neurological medical staff in Xuanwu Hospital of Capital Medical University for the ictal testing during video-EEG monitoring, it will provide reference for the improvement of the training of epilepsy rotation in the future. Methods Questionnaires which were designed by ourselves were conducted to the medical staff working in the Department of Neurology in Xuanwu Hospital through WeChat. The contents of the questionnaire mainly included the geographic data of medical staff, the status of ictal testing during video-EEG monitoring and the effect of the questionnaire. Results A total of 57 subjects were collected. The medical staff were not comprehensive enough to do ictal testing during video-EEG monitoring. The understanding of clinical significance of some ictal tests was poor, and further training was needed. After the questionnaire, all subjects were aware of the significance of the ictal testing during video-EEG monitoring, and indicated that they would be applied in future work. Conclusions It is necessary to include the training of ictal testing during video-EEG monitoring in epilepsy unit so as to improve the training efficiency and clinical practice.

Key words: Video-EEG monitoring, epilepsy

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