劉愛琴,黃建新,樊麗娟
劉愛琴1,黃建新2,樊麗娟1
顳葉癲;視頻腦電圖;動態(tài)心動圖;心功能;心率變異性
1.4 結(jié)果
1.4.2 VEEG結(jié)果 21例在監(jiān)測過程中共發(fā)作59次,平均發(fā)作時(shí)間為(115.3±75.6)s,其中55次發(fā)作為單側(cè)放電(51次為右側(cè),4次為左側(cè)),3次發(fā)作為雙側(cè)同步放電,1次為先右側(cè)后移行至左側(cè)。
指標(biāo)癲組(n=21)對照組(n=16)SDNN(ms)53.60±5.35②62.36±6.95RMSSD(ms)35.16±7.15①41.13±5.95LF(ms2)13.38±3.70①11.16±3.60HF(ms2)8.05±2.56①9.32±3.11LF/HF3.10±1.83②2.45±1.37
注:與對照組比較,①P<0.05;②P<0.01
[1] Zubair S, Arshad A B, Saeed B,etal. Ictal asystale-late manifestation of partial epilepsy and importance of cardiac pacemaker[J]. Seizure, 2009, 18(6): 457-461.
[2] Commission on Classification and Terminology of the International League Against Epilepsy. Proposal for revised classification of Epilepsies and epileptic syndromes [J]. Epilepsia, 1989, 30:389-399.
[3] Liu Z, Mikati M, Holmes G L. Mesial temporal sclerosis: pathogenesis and significance [J]. Pediatr Neurol, 1995, 12(1):5-16.
[4] Sevcencu C, Struijk J J. Autonomic alterations and cardiac changes in epilepsy [J]. Epilepsia, 2010,51(5):725-737.
[5] 李亞軍,謝 鵬,李 平,等.癲發(fā)作時(shí)心率和心電圖變化及其影響因素[J]. 臨床神經(jīng)電生理學(xué)雜志,2005,14(4):201-201.
[6] Oppenheimer S M, Gelb A, Girvin J P,etal. Cardiovascular effect of human insular cortex stimulation [J]. Neurology, 1992, 42(9):1727-1732.
[7] Schuelu S U. Effects of seizures on function [J]. J Clin Neu- rophysiol, 2009, 26(5): 302-308.
[8] Baumgatner C, Lurger S, Leutmezer F. Autonomic symptoms during epileptic seizures [J]. Epileptic Disord, 2001, 3(3):103-106.
[9] 胡 楠,郁金泰,譚 蘭. 癲癇猝死的研究進(jìn)展[J]. 中華神經(jīng)科雜志,2012, 45(11):815-817.
[10] Rejdak K, Rubaj A, Glowniak A,etal. Analysis of ventricular late potentials in signal-averaged ECG of people with epilepsy [J]. Epilepsia, 2011, 52(11): 2118-2124.
[11] Suorsa E, Korpelainen J T, Ansakorpi H,etal. Heart rate dynamics in temporal lobe epilepsy-A long-term follow-up study [J]. Epilepsy Res, 2011, 93(1): 80-83.
[12] Lotufo P A, Valiengo L, Bensenar I M,etal. A systematic reviewAnd meta-analysis of heart rate variability in epilepay and antiepileplic drugs [J]. Epilepsia, 2012, 53(2): 272-282.
[13] Ficker D M, So E, Shen W K,etal. Population-based study of the incidence of sudden unexplained death in epilepsy [J]. Nearology, 1998, 51(5):1270-1274.
[14] Pedley T A, Hauser W A . Sudden death in epilepsy:a wake up call for management [J]. Lancet, 2002, 359(9320):1790-1791.
(2016-09-01收稿 2016-10-12修回)
(責(zé)任編輯 武建虎)
劉愛琴,本科學(xué)歷,副主任技師。
100037,武警北京總隊(duì)第二醫(yī)院:1. 視頻腦電監(jiān)測中心;2.特檢科
R742.1; R540.4