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脑电图在肝性脑病早期诊断中的作用评价

Early diagnostic value of electroencephalogram is hepatic encephalopathy

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【作者】 吴萍廖允军

【Author】 Wu Ping, Liao Yunjun Department of Neuroelectrophysiololgy,Shenzhen Second People’Hospital, Shenzhen 518035

【机构】 深圳市第二人民医院神经电生理室深圳市第二人民医院肝胆外科

【摘要】 目的探讨脑电图(electroencephalogram,EEG)监测在肝性脑病(hepaticencephalopathy,HE)早期诊断中的价值。方法180例child肝功能分级均为C级、无明显脑病症状的肝硬化患者均进行EEG描记分析,根据EEG结果分为EEG明显异常,即广泛轻—中度异常组(A组)和EEG无异常或边缘性异常组(B组);随访观察两组HE的发病情况。结果180例肝硬化患者中,A组有114例,其中并发HE者11例;B组有66例,其中并发HE者2例。A组HE的发生率明显高于B组(P<0.05)。结论EEG在HE的早期诊断中具有重要价值。

【Abstract】 Objective To evaluate the early diagnosis value of electroencephalogram(EEG) in hepatic encephalopathy(HE). Methods All the 180 cirrhosis patients without HE symptom whose liver function ranked as level Caccording to Child-pugh’s standard received EEG examination and there after divided into Group A(widely mild to moderate abnormal EEG) and Group B(normal or marginal EEG).The incidence of HE in Group A and Group B was compared with each other.Results Among the 180 cirrhosis patients, there 11 HE patients in Group A(114/180) and only 2 HE patients in Group B(66/180). The HE incidence in Group A was higher than that in Group B(P<0.05).Conclusions EEG played an important role in the early diagnosis of HE.

【关键词】 肝性脑病脑电图脑地形图诊断
【Key words】 Hepatic encephalopathyElectroencephalogram
  • 【分类号】R747.9
  • 【被引频次】6
  • 【下载频次】68
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