睡眠剥夺和药物诱导睡眠脑电图在癫痫诊断中的应用价值.pdfVIP

305 睡眠剥夺和药物诱导睡眠脑电图在癫痫诊断中的应用价值 杨春清, 杜亚丽, 张素 , 李文玲, 李 哲, 刘倩薇, 李 攀, 赵 磊 探讨睡眠剥夺和药物诱导睡眠脑电图在癫痫诊断中的作用 选择 2005年 6月 2009年 6 月在河北省人民医院门诊就诊和住院治疗的清醒间歇期脑电图无阳性发现的癫痫患者 243例, 分为睡眠剥夺诱导睡眠 组和水合氯醛诱导睡眠组, 分别进行清醒期和睡眠期脑电图记录 睡眠剥夺诱导睡眠组和水合氯醛诱导睡眠组 癫痫样放电出现率分别为663%和 456%, 差异有统计学意义 (P 005) 睡眠剥夺和药物诱导睡眠脑电图均 可提高脑电图阳性率, 前者效果较好, 后者较为方便 睡眠诱导; 睡眠期脑电图; 癫痫; 诊断 R 741 B 1007- 9572 ( 2010) 01- 0305- 02 Valueof SleepDeprivation andDrug- induced SleepEEG inEpilepsyDiagnosis YANG Ch un - qing, D U Ya - l,i ZHANG S u-f ang, et al. Ep ilep sy C enter of H e bei G eneralH osp ita ,l Sh i iazhuang 050051, Ch ina Abstract Objective To investigate the value of sleep deprivation and drug- induced sleep electroencephalogram (EEG) in epilepsy diagnosis. M ethods A total of 243 epilepsy patients were divided, according to sleep inducing methods, into groupsA ( sleep deprivation- induced sleep), B ( chloral hydrate- induced sleep). The EEG recordings of lucid interval and sleep weremade in 2 groups. Results The rates of epileptiform discharge ofgroupsA, B were 663%, 456%, respec- tively, the differencewas significant (P 005). Conclusion Sleep deprivation and drug induced sleep can increase EEG positive rate, the former ismore effective, the lattermore convenient. Key ords Sleep inducing; Sleep electroencephalogram; Epilepsy; iagnosis , , , 1 , 11 2005 6 2009 : 050051, 6 : , 050051 , ; E- mai:l l-i , 243, 142, welling@ 163com , 101, 1 6~ 76, 31 3 , , , 1998- Lippincotwt illiams W ilkins, 2001: 1787- 11 , , , 1999 1833. 1999~ 2001 [ J] , 2001, 17 ( 2): 17- 7 , , , [ J] , 23.