中国康复理论与实践2025，Vol.31Issue(10)：1188-1193,6.DOI:10.3969/j.issn.1006-9771.2025.10.010
不同脑梗死部位及神经功能缺损程度的脑电图功率谱特征
Characteristics of electroencephalogram power spectrum in cerebral infarction of various sites and neurological deficit serverites
赵新颖 1于福达 1王慧 1李晓峰 1张笑娣 1白冬儿 1李嘉民1
作者信息
- 1. 石家庄市人民医院,河北 石家庄市 050000
- 折叠
摘要
Abstract
Objective To investigate the characteristics of the relative electroencephalogram(EEG)power spectrum in cerebral in-farction patients with different lesion locations and neurological deficit severities.
Methods From February,2024 to May,2025,70 patients with cerebral infarction who completed EEG examinations at Shijiazhuang People's Hospital were enrolled.They were divided into cortical group(n=19)and subcortical group(n=51)based on admission MRI/CT imaging,and divided into mild group(n=53)and moderate-to-se-vere group(n=17)according to the scores of National Institutes of Health Stroke Scale(NIHSS)and Barthel In-dex.All patients underwent 32-channel video-EEG monitoring.The power spectral density of α and θ waves,and the(δ+θ)/(α+β)ratio(DTABR)were analyzed in eight electrodes of F3,F4,P3,P4,T3,T4,O1 and O2.
Results DTABR was higher in the cortical group than in the subcortical group across all eight electrodes(|Z|≥2.047,P<0.05),while the relative power decreased in α waves(|Z|≥1.968,P<0.05),and increased in θ waves(|Z|≥1.988,P<0.05)in the cortical group.DTABR was higher in the moderate-to-severe group than in the mild group(|Z|≥2.263,P<0.05).
Conclusion Elevated DTABR suggests cortical involvement or more severe neurological impairment,and decreased αwave and increased θ wave activity are primarily observed in patients with cortical lesions,potentially serving as EEG indicators for identifying cortical involvement.关键词
脑梗死/脑电图/神经功能缺损/病灶Key words
cerebral infarction/electroencephalogram/neurological deficit/focus分类
临床医学引用本文复制引用
赵新颖,于福达,王慧,李晓峰,张笑娣,白冬儿,李嘉民..不同脑梗死部位及神经功能缺损程度的脑电图功率谱特征[J].中国康复理论与实践,2025,31(10):1188-1193,6.
