【摘要】 目的:评估和比较两种癫痫发作分类体系即发作症状学分类法(SSC)和国际癫痫发作分类法(ICES)的临床价值和可信度。方法:2名医生独立地观看106例患者发作的录像资料,采用双盲法对患者的每一次发作录像仔细进行回顾分析并分别使用上述两种分类法进行分类,数据进行百分比计算及Kappa一致性检验。结果:106例患者共计有256次发作,对2名医生诊断的一致性进行比较,结果显示SSC明显高于ICES。SSC体系中一些症状如过度运动发作、自动运动发作、愣神发作等具有更高的一致性。结论:SSC提供了一个比ICES更为容易理解的癫痫发作分类体系,提示SSC是一种非常有用的、可靠的分类方法。更多还原

【Abstract】 Objective To assess and compare two kinds of systems:Semiological Seizure Classification(SSC) and International Classification of Epileptic Seizures(ICES).Methods Two doctors independently reviewed 106 patients’ video-EEG.They were double-blinded to the EEG findings and final diagnosis,they classified all seizures according to both classifications.Datas were analysised by percentage and Kappa test.Results Two hundred and fifty-six seizures from 106 patients were reviewed.The average consistency of the two doctors was higher for SSC(Kappa = 0.762) than for ICES(Kappa = 0.513).Some categories of SSC,such as hypermotor,automotor or dialeptic had excellent consistency.Conclusion SSC provides a more comprehensive picture of epileptic seizure than does ICES and appears to be very useful and reliable.更多还原