摘要
目的探讨脑电图、脑脊液和脑电子计算机X射线断层扫描检查在小儿病毒性脑炎的临床诊断及疗效评估中的意义。方法选取临床诊断为病毒性脑炎的患儿118例,分别做脑电图、脑脊液、脑电子计算机X射线断层扫描的检查,并对检查结果进行对比分析。结果3种检测方法中脑电图检查阳性率最高,占98.3%;脑脊液检查阳性率占57.6%,脑电子计算机X射线断层扫描检查阳性率最低,占27.1%,三者经比较有显著性差异(χ2=126.55,P<0.01)。结论脑电图检查小儿病毒性脑炎异常率较高,优于脑脊液和脑电子计算机X射线断层扫描检查,结合脑脊液、脑电子计算机X射线断层扫描检查结果对判断病情严重程度和评估疗效及预后有重要意义。
Objective To explore significanse of changes in electroencephalography, cerebrospinal fluid test and head CT scanning in clinical diagnosis and therapeutic effect evaluation of viral encephalitis. Methods 118 children with a chinical diagnosis of viral encephalitis were selected and received electroencephalography, cerebrospinal fluid test and head CT scanning. The examination results of the chidren were analyzed and compared. Results Among three examination methods, the positive detectable rate of viral encephalitis by electroencephalography was the highest（ 98.3% ）, that by cerebrospinal fluid test was 57.6% and that by head CT scanning was 27.1%. There was a significant difference between the three groups （χ^2 = 126.55, all P 〈 0.01 ）. Conclusion The positive detectable rate of viral encephalitis by EEG is higher. Combination of EEG, cerebrospinal fluid test and head CT scanning is of important significance for judging severity of the disease and evaluating therapeutic effect and prognosis of the children.
出处
《中国妇幼健康研究》
2008年第6期630-631,共2页
Chinese Journal of Woman and Child Health Research
关键词
小儿病毒性脑炎
脑电图
脑脊液
脑电子计算机X射线断层扫描
阳性率
viral encephalitis of chilren
electroencephalogram （EEG）
cerebrospinal fluid （CSF）
head CT scanning
positive rate
