脑电图判读对癫痫诊断和治疗的影响

脑电图(EEG)是癫痫诊断中最重要的实验室检查方法,对确定癫痫类型,合理选择抗癫痫药物发挥了重要作用。但由于EEG操作不规范,对EEG结果不适当或错误的判读和解释,以及临床医生缺乏对EEG临床应用的理解,导致将很多非癫痫性事件误诊为癫痫,或对已经长期控制发作的癫痫病人过度治疗,由此带来一系列的医疗和社会问题。这些现象在国内外均普遍存在,应引起相关学科的高度重视。应强调规范的EEG记录,提高对EEG的判读水平,并对神经科、儿科或癫痫专科医生进行必有的EEG培训,以更好的发挥EEG在癫痫诊治中的作用。

The Effects of Electroencephlography on Diagnoses and Therapy of Epilepsies

EEGs is the most important laboratory method in diagnoses of epilepsies, which play a key role on determining types of epilepsies and reasonable selecting antiepileptic drugs. Unfortunate, nonstandard EEGs processing,overinterpretation or incorrect judgment and understanding for EEGs, and unable realized the clinical utility of EEGs by clinician result in many non epileptic events were misdiagnosed to epilepsies, or overtreated on the patients with epilepsy whose seizures has been controlled long time, and arouse series medical and social troubles. These problems are relative universality and should pay attention particularly. Standard EEG record processing, advancing level of reading and assessing EEGs, and necessary EEGs training to neurophysicians, pediatricians and epileptic clinicians can be used improving EEGs effect on diagnoses and therapy of epilepsies.