脑出血患者病灶部位、大小与脑电图波形的相关性研究

The correlation of the lesion and size of cerebral hemorrhage and electroencephalogram wave

摘要: 目的: 探讨不同脑出血部位及血肿量的连续脑电图(CEEG)监测的波形特点.方法: 对60例急性脑出血患者进行24 h CEEG.结果: 60例急性脑出血中,CEEG异常较明显,多呈广泛性改变,以双侧或单侧弥漫性θ波为主,伴阵发性δ活动.表浅部位(脑叶、小脑)较深部病变(脑干、脑室、基底节)CEEG异常率高,改变明显.血肿20～40 ml和>40 ml的脑出血患者CEEG异常率均高于脑出血量<20 ml的患者(P<0.05和P<0.01).结论: CEEG对脑出血的治疗效果及预后评估有诊断意义.

Abstract: Objective: To explore the wave characteristics of continuous electroencephalogram(CEEG) in different lesions and bleeding of cerebral hemorrhage.Methods: The 24 hours CEEGs wave of 60 patients with cerebral hemorrhage were recorded.Results: The abnormal CEEGs in 60 patients with cerebral hemorrhage were obvious,which showed extensive changes.The bilateral or unilateral diffuse θ and paroxysmal δ were found.The abnormal rate of CEEG in shallow layer was higher than that in deep lesions,the abnormal rate of CEEG in patient with 20 to 40 ml or more than 40 ml bleeding was higher than that in patient with less than 20 ml bleeding(P<0.05 and P<0.01).Conclusions: CEEG has diagnostic significance in the evaluation of treatment effects and prognosis of cerebral hemorrhage.