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高血压性颅内出血患者预后不良的定量脑电图特征

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目的:探讨高血压性颅内出血患者预后不良的定量脑电图特征。方法:前瞻性连续收集2017 年1 月至2023 年6 月在开滦总医院神经内科重症加强治疗病房诊治的高血压性颅内出血患者 69例为研究对象。根据出院30d后的改良Rankin评分(mRS 评分)随访结果将患者分为两组:预后良好组(mRS≤2 分)、预后不良组(mRS3~6 分)。收集患者一般资料、qEEG 监测指标[左、右侧前额区(Fp1、Fp2)、额区(F3、F4)、中央区(C3、C4)、顶区(P3、P4)、枕区(O1、O2)、前颞区(F7、F8)、中颞区(T3、T4)、后颞区(T5、T6)的α、θ、δ、β脑波功率值。结果:高血压性颅内出血预后不良组年龄大于预后良好组,P<0。05。高血压性颅内出血预后不良组10-20 导联中Fp2、F4、C4、P4、F7-8、T4 导联δ 脑波功率值高于预后良好组,P<0。05。预后不良组 10-20 导联中Fp1-2、F3、C3、P4、O1、F7、T3 导联θ 脑波功率值高于预后良好组,P<0。05。预后不良组10-20 导联中 Fp1-2、F3-4、C3-4、P3-4、O1、F7-8、T4、全脑平均慢波指数功率值高于预后良好组,P<0。05。结论:高血压性颅内出血预后不良患者,定量电脑图δ、θ、全脑平均慢波指数功率值呈明显增高改变。
Quantitative EEG Features Associated with Poor Prognosis in Patients with Hypertensive Intracerebral Hemorrhage
Objective:To investigate the quantitative EEG(qEEG)features associated with poor prog-nosis in patients with hypertensive intracerebral hemorrhage(HICH).Methods:A prospective study was con-ducted,continuously enrolling 69 patients with HICH from the intensive care unit of the Department of Neurol-ogy,Kailuan General Hospital,between January 2017 and June 2023.Based on the modified Rankin score(mRS)at 30 days post-discharge,patients were divided into two groups:the good prognosis group(mRS≤2)and the poor prognosis group(mRS 3-6).General patient data and qEEG monitoring parameters,inclu-ding alpha,theta,delta,and beta wave power values in the left and right frontal(Fp1,Fp2),frontal(F3,F4),central(C3,C4),parietal(P3,P4),occipital(O1,O2),anterior temporal(F7,F8),mid-tempo-ral(T3,T4),and posterior temporal(T5,T6)regions,were collected.Results:The mean age in the poor prognosis group was significantly higher than in the good prognosis group(P<0.05).The delta wave power in the Fp2,F4,C4,P4,F7-8,and T4 regions in the poor prognosis group was significantly higher than in the good prognosis group(P<0.05).The theta wave power in the Fp1-2,F3,C3,P4,O1,F7,and T3 regions in the poor prognosis group was significantly higher than in the good prognosis group(P<0.05).The overall slow wave index power,including delta and theta waves,in the Fp1-2,F3-4,C3-4,P3-4,O1,F7-8,T4,and whole-brain average slow wave index in the poor prognosis group was significantly higher than in the good prognosis group(P<0.05).Conclusion:Patients with poor prognosis following hypertensive intracere-bral hemorrhage show significantly increased delta,theta,and whole-brain average slow wave index power values on qEEG.

Quantitative EEGHypertensive intracerebral hemorrhageCerebral hemorrhagePrognosisFeatures

欧亚、张萍淑、元小冬、张丽丽、闫翠萍、李保珠、任勇

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河北省唐山市开滦总医院神经内科,河北 唐山 063000

河北省神经生物机能重点实验室,河北 唐山 063000

定量脑电图 高血压性颅内出血 脑出血 预后 特征

2020年度河北省创新能力提升计划项目2022年唐山市市级科技计划项目

20567622H22130212G

2024

河北医学
河北省医学会

河北医学

CSTPCD
影响因子:1.915
ISSN:1006-6233
年,卷(期):2024.30(10)