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脑电图对肝硬化合并肝性脑病的诊断价值分析

崔虹 高凤成 王玉梅 张华 郭武玲 杨静

西南国防医药2017,Vol.27Issue(9):945-947,3.
西南国防医药2017,Vol.27Issue(9):945-947,3.DOI:10.3969/j.issn.1004-0188.2017.09.012

脑电图对肝硬化合并肝性脑病的诊断价值分析

Value of EEG in diagnosis of liver cirrhosis complicated with hepatic encephalopathy

崔虹 1高凤成 2王玉梅 3张华 4郭武玲 5杨静6

作者信息

  • 1. 719000陕西榆林,榆林市第一医院脑电图室
  • 2. 719000陕西榆林,榆林市第一医院感染病科
  • 3. 榆林市第二医院神经内科
  • 4. 第四军医大学西京医院超声科
  • 5. 第四军医大学西京医院儿科
  • 6. 第四军医大学西京医院神经内科
  • 折叠

摘要

Abstract

Objective To explore the value of electroencephalogram (EEG) in the diagnosis of liver cirrhosis complicated with hepatic encephalopathy.Methods A total of 78 patients with liver cirrhosis complicated with hepatic encephalopathy admitted by the authors were selected and received EEG examination.The abnormal performance of EEG was observed and the relation between abnormal degree and stage of encephalopathy and Child-Pugh stage analyzed.Results All of the 78 patients had abnormal EEG;the mild group had no lethargy or coma cases.The constituent ratio of patients with lethargy or coma (100%) in the severe group was higher than that (35%) in the moderate group.There was significant difference among the three groups (P < 0.05).The constituent ratio (6.3%) of Grade C (Child-Pugh grade) patients in the mild group was lower than that in the moderate group (52.5%) and the severe group (66.7%);the difference among the three groups was significant (P < 0.05).Conclusion The abnormal degree of EEG can reflect the clinical staging and Child-Pugh stage of liver cirrhosis complicated with hepatic encephalopathy and has significant reference value in clinical diagnosis.

关键词

肝硬化/肝性脑病/脑电图/Child-Pugh分级/诊断

Key words

liver cirrhosis/hepatic encephalopathy/EEG/Child-Pugh grade/diagnosis

分类

医药卫生

引用本文复制引用

崔虹,高凤成,王玉梅,张华,郭武玲,杨静..脑电图对肝硬化合并肝性脑病的诊断价值分析[J].西南国防医药,2017,27(9):945-947,3.

西南国防医药

OACSTPCD

1004-0188

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