摘要：
采用动态脑电图（AEEG）对168 例昏迷患者进行监测，结果显示，动态脑电图分级与Glasgow 昏迷量表（GCS）评分呈负相关（r = - 0.995，P = 0.005），表明病情越重、昏迷程度越深、GCS 评分越低、脑电图分级越高。其中，脑电图Ⅱ级者84 例、预后良好74 例（88.10%），Ⅲ级者53 例、预后良好26 例（49.06%），Ⅳ ~ Ⅴ级者31 例、预后良好4 例（12.90%），组间差异有统计学意义（χ2 = 60.565，P = 0.042）。动态脑电图监测具有无创性、可重复性、简便易行等优点，有利于昏迷患者的神经功能评价和预后判断。
关键词:
昏迷,
预后,
脑电描记术
Abstract:
The result of ambulatory EEG (AEEG) examination on 168 comatose patients showed that AEEG grading was negatively correlated with Glasgow Coma Scale (GCS) score (r = - 0.995, P = 0.005). More serious the patients' condition was and the deeper coma they were in, the lower GCS score and the higher EEG grade they would got. Among all patients, there were 84 cases with AEEG grade Ⅱ, in whom 74 cases (88.10% ) had favorable prognosis; 26 cases (49.06% ) of 53 cases with grade Ⅲ and 4 cases (12.90% ) of 31 cases with grade Ⅳ - Ⅴ had favorable prognosis. The differences between groups had statistical significance (χ2 = 60.565, P = 0.042). AEEG is non-invasive, repeatable and easy to operate, which is in favor of the neurological evaluation and prognosis of patients with coma.
Key words:
Coma,
Prognosis,
Electroencephalography
杨君素. 动态脑电图对昏迷患者预后评价研究[J]. 中国现代神经疾病杂志, 2016, 16(10): 712-714.
YANG Jun-su. Significance of ambulatory EEG on prognosis evaluation of patients with coma[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2016, 16(10): 712-714.