高血压性颅内出血患者预后不良的定量脑电图特征

doi:10.3969/j.issn.1006-6233.2024.10.024

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摘要 目的:探讨高血压性颅内出血患者预后不良的定量脑电图特征。方法:前瞻性连续收集2017年1月至2023年6月在开滦总医院神经内科重症加强治疗病房诊治的高血压性颅内出血患者69例为研究对象。根据出院30d后的改良Rankin评分(mRS评分)随访结果将患者分为两组: 预后良好组( mRS≤2分) 、预后不良组( mRS3~6分)。收集患者一般资料、qEEG监测指标〔左、右侧前额区(Fp1、Fp2)、额区(F3、F4)、中央区(C3、C4)、顶区(P3、P4)、枕区(O1、O2)、前颞区(F7、F8)、中颞区 (T3、T4)、后颞区(T5、T6)的α、θ、δ、β脑波功率值。结果:高血压性颅内出血预后不良组年龄大于预后良好组,P<0.05。高血压性颅内出血预后不良组10-20导联中Fp2、F4、C4、P4、F7-8、T4导联δ脑波功率值高于预后良好组,P<0.05。预后不良组10-20导联中Fp1-2、F3、C3、P4、O1、F7、T3导联θ脑波功率值高于预后良好组,P<0.05。预后不良组10-20导联中Fp1-2、F3-4、C3-4、P3-4、O1、F7-8、T4、全脑平均慢波指数功率值高于预后良好组,P<0.05。结论:高血压性颅内出血预后不良患者,定量电脑图δ、θ、全脑平均慢波指数功率值呈明显增高改变。

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关键词 ：定量脑电图, 高血压性颅内出血, 脑出血, 预后, 特征

Abstract：Objective: To investigate the quantitative EEG (qEEG) features associated with poor prognosis in patients with hypertensive intracerebral hemorrhage (HICH). Methods: A prospective study was conducted, continuously enrolling 69 patients with HICH from the intensive care unit of the Department of Neurology, Kailuan General Hospital, between January 2017 and June 2023. Based on the modified Rankin score (mRS) at 30 days post-discharge, patients were divided into two groups: the good prognosis group (mRS ≤ 2) and the poor prognosis group (mRS 3-6). General patient data and qEEG monitoring parameters, including alpha, theta, delta, and beta wave power values in the left and right frontal (Fp1, Fp2), frontal (F3, F4), central (C3, C4), parietal (P3, P4), occipital (O1, O2), anterior temporal (F7, F8), mid-temporal (T3, T4), and posterior temporal (T5, T6) regions, were collected. Results: The mean age in the poor prognosis group was significantly higher than in the good prognosis group (P<0.05). The delta wave power in the Fp2, F4, C4, P4, F7-8, and T4 regions in the poor prognosis group was significantly higher than in the good prognosis group (P<0.05). The theta wave power in the Fp1-2, F3, C3, P4, O1, F7, and T3 regions in the poor prognosis group was significantly higher than in the good prognosis group (P<0.05). The overall slow wave index power, including delta and theta waves, in the Fp1-2, F3-4, C3-4, P3-4, O1, F7-8, T4, and whole-brain average slow wave index in the poor prognosis group was significantly higher than in the good prognosis group (P<0.05). Conclusion: Patients with poor prognosis following hypertensive intracerebral hemorrhage show significantly increased delta, theta, and whole-brain average slow wave index power values on qEEG.

Key words： Quantitative EEG Hypertensive intracerebral hemorrhage Cerebral hemorrhage Prognosis Features

基金资助:2020年度河北省创新能力提升计划项目,(编号:20567622H);2022年唐山市市级科技计划项目,(编号:22130212G)

通讯作者: 张萍淑

引用本文:

欧亚, 张萍淑, 元小冬, 张丽丽, 闫翠萍, 李保珠, 任勇. 高血压性颅内出血患者预后不良的定量脑电图特征[J]. 河北医学, 2024, 30(10): 1711-1717.
OU Ya, ZHANG Pingshu, YUAN Xiaodong, et al. Quantitative EEG Features Associated with Poor Prognosis in Patients with Hypertensive Intracerebral Hemorrhage. HeBei Med, 2024, 30(10): 1711-1717.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2024.10.024 或 http://www.hbyxzzs.cn/CN/Y2024/V30/I10/1711