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两种癫痫发作分类体系临床价值和可信度的比较研究

秦兵 陈勇军 段现来 廖卫平 臼井直敬 井上有史

实用医学杂志2012,Vol.28Issue(13):2126-2129,4.
实用医学杂志2012,Vol.28Issue(13):2126-2129,4.DOI:10.3969/j.issn.1006-5725.2012.13.009

两种癫痫发作分类体系临床价值和可信度的比较研究

A comparison on the clinical value and reliability between two classification systems of epileptic seizures

秦兵 1陈勇军 2段现来 2廖卫平 2臼井直敬 3井上有史3

作者信息

  • 1. 510080,广州市,广东省人民医院神经科,广东省医学科学院,广东省神经科学研究所,秦兵
  • 2. 510060,广州医学院第二附属医院神经科,广州医学院神经科学研究所
  • 3. 420-8688,日本国家癫痫中心,静冈癫痫与神经疾病研究所
  • 折叠

摘要

Abstract

Objective To assess and compare two kinds of systems: Semiological Seizure Classification (SSC) and International Classification of Epileptic Seizures (ICES). Methods Two doctors independently reviewed 106 patients' video-EEG. They were double-blinded to the EEG findings and final diagnosis, they classified all seizures according to both classifications. Datas were analysised by percentage and Kappa test. Results Two hundred and fifty-six seizures from 106 patients were reviewed. The average consistency of the two doctors was higher for SSC (Kappa = 0.762) than for ICES (Kappa = 0.513). Some categories of SSC, such as hypermotor, automotor or dialeptic had excellent consistency. Conclusion SSC provides a more comprehensive picture of epileptic seizure than does ICES and appears to be very useful and reliable.

关键词

癫痫/痫性发作国际分类/发作症状学分类

Key words

Epilepsy/ ICES/ SSC

引用本文复制引用

秦兵,陈勇军,段现来,廖卫平,臼井直敬,井上有史..两种癫痫发作分类体系临床价值和可信度的比较研究[J].实用医学杂志,2012,28(13):2126-2129,4.

基金项目

广东省科技计划项目(编号:2011B061300094) (编号:2011B061300094)

日本癫痫研究基金 ()

实用医学杂志

OA北大核心CSTPCD

1006-5725

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