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定量脑电图评估老年急性缺血性脑卒中患者参数特征的临床研究

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目的 分析急性缺血性脑卒中患者定量脑电图(qEEG)参数特征。方法 收集 2022 年 8 月至 2023 年 8 月海军第九七一医院收治的 81 名老年急性缺血性脑卒中患者(卒中组)和 68 名健康老年人(健康对照组)的临床资料。所有被试者于入院或门诊就诊时行定量脑电图检查。卒中患者于入院时进行美国国立卫生研究院卒中量表(NIHSS)评分、影像检查确定梗死部位。对比 2 组基础资料和定量脑电图参数差异。对比不同NIHSS评分、不同梗死部位、前后循环卒中患者定量脑电图参数差异,并分析参数与NIHSS评分的相关性。结果 卒中组患者定量脑电图δ波功率值、θ波功率值、δ/α功率比(DAR值)和(δ+θ)/(α+β)功率比(DTABR值)高于健康对照组(P<0。05)。NIHSS>5 分患者DAR与DTABR值高于NIHSS≤5 分患者(P<0。05)。皮质下梗死患者δ波功率值、θ波功率值和β波功率值均显著高于脑干梗死患者(P<0。05)。前循环和后循环梗死患者定量脑电图参数比较差异无统计学意义(P>0。05)。Pearson相关性分析提示,DAR值、DTABR值与NIHSS评分呈正相关(P<0。05)。结论 急性缺血性脑卒中可影响定量脑电图参数的改变。定量脑电图参数与急性缺血性卒中患者神经功能损伤相关,对评价卒中患者的神经损伤有一定参考价值。
Characteristics of quantitative EEG parameters in patients with acute ischemic stroke
Objective To analyze the characteristics of quantitative electroencephalogram(qEEG)parameters in patients with acute ischemic stroke.Methods The clinical data of 81 AIS patients who were admitted to No.971 Hospital of PLA Navy from August 2022 to August 2023 and 68 healthy controls were collected.All the subjects were examined by qEEG.Stroke patients were assessed by National Institutes of Health Stroke Scale(NIHSS)and the locations of infarction were determined by imaging examination.Basic data and qEEG parameters were compared between AIS patients and healthy controls.The qEEG parameters were compared in AIS patients with different NIHSS scores,infarction sites,anterior or posterior circulation.The correlations between qEEG parameters and NIHSS scores were analyzed.Results The δ and θ wave power values,DAR(δ/α)and DTABR([δ+θ]/[α+β])values of qEEG in AIS patients were significantly higher than those in the healthy controls(all P<0.05).The values of DAR and DTABR in patients with NIHSS>5 were higher than those in patients with NIHSS≤5(P<0.05).The δ,θ and β wave power in patients with subcortical infarction were significantly higher than those in patients with brainstem infarction(all P<0.05).There were no significant differences in qEEG parameters between patients with anterior and posterior circulation.Pearson correlation analysis showed that DAR and DTABR values were positively correlated with NIHSS score(P<0.05).Conclusion AIS can affect the changes of qEEG parameters.qEEG parameters are related to neurological impairment in AIS patients,which may help to evaluate neurological impairment in patients with stroke.

Quantitative electroencephalogramAcute ischemic strokeParameter characteristics

李佳美、蔡金晓、于辛

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266071 山东 青岛,中国人民解放军海军第九七一医院神经内科

定量脑电图 急性缺血性脑卒中 参数特征

青岛市医药卫生科研计划项目

2021-WJZD229

2024

海军医学杂志
海军医学研究所

海军医学杂志

CSTPCD
影响因子:0.518
ISSN:1009-0754
年,卷(期):2024.45(8)