腦電圖和經顱多普勒對兒童偏頭痛的臨床價值研究

侯愛華

DOI：10.16662/j.cnki.1674-0742.2017.11.183

[摘要] 目的 探討腦電圖和經顱多普勒對兒童偏頭痛的臨床價值。 方法 方便選取2015年8月—2016年8月來該院治療偏頭痛的患兒52例，為實驗組，對患者發作期、發作間歇期進行EEG（腦電圖）、TCD（多普勒超聲）檢查。并選取同時期來該院進行健康體檢的患兒52例，為對照組。將兩組情況進行比較分析。 結果 52例患兒中，經TCD檢測顯示腦血流動力學正常的有8例（15.38%），腦血流動力學出現異常者44例（84.62%），其中血流速度減慢患兒有13例，血流速度增高患兒有12例，雙側血流速度不對稱有14例，血流不穩定患兒有5例。52例偏頭痛患兒中，描記腦電圖表現出現異常的患兒有24例（46.15%），其中輕度異常10例，中度異常7例，重度異常3例，癎樣放電4例，正常范圍28例（53.75%）。在兩組檢查中，經TCD檢查與EEG檢查共同表現異常的有11例。經過TCD檢查EEG檢查的患者結果與臨床病理檢查符合率分別為94%和93%，差異無統計學意義（P>0.05）。 結論 對偏頭痛患兒行腦電圖和經顱多普勒檢查，診斷準確性較高，對于后續治療、用藥也有較大的借鑒價值，臨床價值較高，值得在臨床上推廣應用。

[關鍵詞] 腦電圖；經顱多普勒；兒童偏頭痛；臨床價值

[中圖分類號] R5 [文獻標識碼] A [文章編號] 1674-0742（2017）04（b）-0183-03

Research on Clinical Value of Electroencephalogram and Transcranial Doppler Sonography on the Migraine in Children

HOU Ai-hua

Department of Special Inspection， Laigang Hospital Affiliated to Taishan Medical College， Laiwu， Shandong Province， 271104 China

[Abstract] Objective To discuss the clinical value of electroencephalogram and transcranial Doppler sonography on the migraine in children. Methods Conclusion selection 52 cases of children with migraine treated in our hospital from August 2015 to August 2016 were selected and the patients were examined by the EEG and TCD during the onset period and gointoaction the intermittment period， at the same time， 52 cases of healthy physical examination children in our hospital at the same period were selected as the control group， and the situations were compared and analyzed between the two groups. Results Of the 52 cases of children， the TCD test showed that there were 8 cases whose cerebral hemodynamics was normal， accounting for 15.38%， 44 cases whose cerebral hemodynamics was abnormal， accounting for 84.62%， 13 cases whose blood flow velocity slowed down， 12 cases whose blood flow velocity increased and 14 cases whose bilateral blood flow rate was asymmetric， and 5 cases whose blood flow was not steady， of 52 cases of children with migraine， the electroencephalogram showed that there were 24 cases were abnormal， accounting for 46.15%， including 10 mild abnormal cases， 7 cases moderate abnormal cases and 3 severe abnormal cases， 4 cases with epileptiform discharge， and 28 cases were in the normal range， accounting for 53.75%， and the TCD examination and EEG examination showed there were 11 abnormal cases， and the coincidence rate of TCD examination and EEG examination and clinical pathology examination was respectively 94% and 93%， and the difference was not obvious， without statistical significance（P>0.05）. Conclusion The accuracy of electroencephalogram and transcranial Doppler sonography on the migraine in children is higher， which is of great reference value to the subsequent treatment and medication with higher clinical value， and it is worth clinical promotion and application.