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·头颈疾病·

脑电图对手足口病合并脑炎患儿的临床应用价值

作者:肖 贞 徐小玲 韦 丹

所属单位:广东省中山市小榄人民医院儿科 (广东 中山 528415)

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摘要

目的 探讨脑电图对手足口病合并脑炎患儿的临床应用价值。方法 于2011年1月至2015年12月间,选取我院科收治 的60例手足口病合并脑炎患儿设为观察组,选取同时期收治的手足口病未合并脑炎60例患儿设为对照组,对所有 患儿均进行脑电图检查,对比两组患儿的脑电图检测结果。结果 观察组60例患儿脑电图检测均为异常,异常率为 100.0%,对照组60例患儿脑电图检测中异常8例,异常率为13.3%,观察组患儿脑电图检测异常率与对照组相比明显 较高,P<0.05。观察组患儿脑电图检测轻度14例,中度28例,重度18例,患儿临床症状越严重,脑电图检测异常 状况越严重。结论 脑电图能辅助手足口病合并脑炎患儿的临床早期诊断,并能辅助诊断患儿病症严重程度,临床 可使用脑电图检测患儿病症状况,辅助手足口病合并脑炎的治疗效果检测。

Objective To investigate the clinical application value of EEG on hand foot mouth disease combined with encephalitis. Methods from January 2011 to December 2015, a total of 60 cases of HFMD in our hospital from mouth disease combined with encephalitis were selected as observation group, select the same period from HFMD patients without encephalitis in 60 cases as control group in all, EEG of all patients, the EEG detection results of the two groups were compared. Results The observed EEG of 60 cases were abnormal, the abnormal rate was 100%, the control group of 60 cases in the detection of EEG abnormalities in 8 cases, the abnormal rate was 13.3%, compared with the control group, the abnormal rate of observation group was significantly higher EEG detection, P<0.05. observation group with EEG of 14 mild cases, 28 moderate cases and 18 severe cases, more serious clinical symptoms, EEG abnormalities were more serious. Conclusion EEG can assist Assistant foot mouth disease combined with encephalitis in children with early clinical diagnosis, and can assist in the diagnosis of children with disease severity, clinical use of EEG detection of children with disease status, assisted hand foot mouth disease combined with encephalitis treatment effect detection.

【关键词】脑电图;手足口病;脑炎

【中图分类号】R373.3+1

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2016.04.006

前言

手足口病是由肠道病毒引起的急性传染病,少数 病例可出现脑炎、脑膜炎、脑脊髓炎等,多由EV71感 染引起,可因脑干脑炎和神经源性肺水肿等原因致 死,因此加强对患儿的早期诊断和治疗,积极控制疾 病进展,是保证患儿生命安全的基础[1]。此次研究中 探讨脑电图对手足口病合并脑炎患儿的临床应用价 值,以期改善患儿预后。以下进行具体报道。