V-EEG联合CT在癫痫性精神障碍诊断中的应用及危险因素分析
Application of V-EEG combined with CT in the diagnosis of epileptic mental disorders and analysis of risk factors
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2021, 48(5) |
| 作者 |
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| 作者单位 |
河南鹤壁煤业(集团) 有限责任公司总医院CT室 ;
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| 摘要 |
【摘要】 目的：研究V-EEG联合CT在癫痫性精神障碍诊断中的应用及危险因素。方法：本研究采用前瞻性研究，以2017年6月至2017年12月期间在我院进行诊断并治疗的癫痫性精神障碍患者60例患者作为研究对象；另选取同期在医院进行健康体检的患者60例作为对照组，对所有入组研究对象均采取V-EEG以及CT检查。比较两组患者的V-EEG结果、各脑区的CT值以及脑白质密度、各个脑室的宽度之间的差异，分析V-EEG联合CT对癫痫性精神障碍患者的诊断效能，研究癫痫性精神障碍的危险因素。结果：观察组患者的单侧放电率显著高于对照组；观察组患者的额叶、顶叶、颞叶、枕叶以及脑白质密度CT值显著低于对照组；观察组患者的双侧脑室的前角、第三脑室、脑沟宽度显著高于对照组，两组患者的第四脑室、侧裂池宽度之间的差异不存在统计学意义（P＞0.05）；V-EEG联合CT对癫痫性精神障碍患者的诊断特异度显著高于对照组；通过多因素分析，低氧血症、低血压、低血钠、低血钙、低血镁均是造成患者癫痫性精神障碍的危险因素。结论：V-EEG联合CT对于癫痫性精神障碍诊断具有重要的作用。
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| Abstract |
[Abstract] Objective: To study the application and risk factors of V-EEG combined with CT in the diagnosis of epileptic mental disorders. Methods: In this prospective study, 60 patients with epileptic mental disorders diagnosed and treated in our hospital from June 2017 to December 2017 were selected as the research objects; another 60 patients with physical examination in the hospital during the same period were selected as the control group, and V-EEG and CT examination were taken for all the enrolled subjects. The results of V-EEG, CT value of each brain area, white matter density and width of each ventricle were compared between the two groups. The diagnostic efficacy of V-EEG combined with CT in patients with epileptic mental disorder was analyzed, and the risk factors of epileptic mental disorder were studied. Results: The unilateral discharge rate of the observation group was significantly higher than that of the control group; the CT values of frontal lobe, parietal lobe, temporal lobe, occipital lobe and brain white matter density in the observation group were significantly lower than that of the control group; the width of anterior angle, third ventricle and sulcus of bilateral ventriculus in the observation group was significantly higher than that of the control group The difference between the width of the fourth ventricle and lateral fissure pool of the two groups was not statistically significant (P > 0.05); the diagnostic specificity of V-EEG combined with CT was significantly higher than that of the control group; through multivariate analysis, hypoxemia and hypotension were significantly higher than those in the control group Low blood sodium, low calcium and low blood magnesium are the risk factors of epileptic mental disorder. Conclusion: V-EEG combined with CT plays an important role in the diagnosis of epileptic mental disorders.
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| 关键词 |
【关键词】V-EEG；CT；癫痫性精神障碍；危险因素
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| KeyWord |
[Key words] V-EEG; CT; epileptic mental disorder; risk factors
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| 基金项目 |
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| 页码 |
843-846 |
于丽*.
V-EEG联合CT在癫痫性精神障碍诊断中的应用及危险因素分析 [J].
国际精神病学杂志.
2021; 48; (5).
843 - 846.