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1、脑电地形图、脑电图检査在早期急性脑型血吸虫病的诊断价值[摘耍]冃的观察早期急性脑型血吸虫病患者脑电地形图及脑电图改变特点,为临床诊断与治疗提供重要依据。方法将有明显疫水接触史,且肓肠镜检与血清免疫学检杏阳性,而影像学检杳阴性,突然出现明显头痛、抽搞等症状时行BEAM、EEG检杳的46例急性脑型血吸虫病患者设为脑血组;将有不同程度头痛史(半年左右)的偏头痛,行BEAM、EEG检查的患者30例设为対照组。结果脑血组患者BEAM、EEG表现出不同程度的界常,较対照组差片有统计学意义(x2=49.823,P<0.01):脑血组异常情况边缘5例,轻度异常12例,轻
2、〜中度异常20例,屮〜重度异常8例,1例正常;而对照纟fl异常悄况边缘3例,轻度异常2例,轻〜中度异常1例,其余24例均正常。结论BEAM.EEG异常是诊断早期急性脑型血吸虫病的•项敏感指标,其界常程度少病程临床类型相关,动态观察可发现脑神经细胞的损害情况。[关键词]急性脑型血吸虫;BEAM;EEG;直肠镜检;血清免疫学;偏头痛[中图分类号]R53[文献标识码]B[文章编号]1673-9701(2011)22-97-02TheValueofBEAMandEEGofEarlyStageAcuteCerebralSchistosomiasisZHOUJing
3、LUOZhaoyangLUOBingxiuECGandEEGRoom,AffilicatedXiangyueHospitalofHunanSchistosomiasisPreventionResearchInstitute,Yueyang414000,China[Abstract]ObjectiveToEvaluatechangesofbrainelectricalactivitymapping(BEAM)andelectroencephalo^ram(EEG)inpatientswithearlystageAcuteCerebralSchistosom
4、iasis(ACS)isimportantforqualitypromotionindiagnosisandtherapyofdisorder.MethodsBrainbloodgroup(studygroup):Patients(46)diagnosedwithearlystageACS,accordingtohistoryofconladinginfectedwater,positiveresultsinproctoscopyandinununoserology,negativeresultsinImageology,withsuddensympto
5、msofheadacheandmuscletwitching,wereseiectedtodetectBEAMandEEG.Controlgroup:Patients(30)complainsomeheadachesormigraineandmuscletwitching(inabout6months)weredetectedBEAMandEEG・ResultsAbnormalityofBEAMandEEGinpatientsofstudygroupwasevaluatedasvariouschanges,ofwhichal1abnormalsaresi
6、gnificantly(x2=49・823,P<0・01)differentfromgroupofcontro1.Tndetail,BEAMandEEGin46patientswithACSpresentededge-abnormal(5cases),mild-abnormal(12cases),mildtomiddle(20cases),middletosevere(8cases),andnormal(1cases)・Incontrast,however,BEAMandEEGdetectionsincontrolgroupshownonly3patie
7、ntsedge-abnormal,2mild-abnormal,1miIdtomiddle-abnormaland24normals.ConelusionDetectionofBEAMandEEGissensitiveforunderstandingFibnomalitiesinearlystageACS.ChangesofBEAMandEEGareassociatedwithdevelopmentstagesofdisorde.DynamicevaluationofBEAMandEEGishelpfulfordetermingdamagesofbrai
8、ncellsofpatientswithearlystageACS.[Keywo