目录
中文摘要 (1)
ite英文摘要 (3)
研究论文长程脑电图在重症脑血管病演变过程中对脑功能的评价前言 (6)
材料与方法 (6)
结果 (8)
附表 (10)
讨论 (13)
结论 (19)
参考文献 (20)
综述 (22)
2014广东理综
长程脑电图在重症脑血管病演变过程中对脑功能的评价
匈牙利语英文摘要
before he cheats
目的：脑电图（electroencephalogram，EEG）是反映脑功能变化的监测技术之一，具有可在床旁进行、操作简便的优点，它对脑血管病患者的治疗及预后提供可靠资料。EEG监测对重症脑血管病患者脑功能评价有重要临床意义。本研究拟对重症脑血管病患者进行长程EEG监测，观察分析在重症脑血管病演变过程中EEG 的变化规律，探讨其对重症脑血管病患者脑功能评价，旨在为临床评估重症脑血管疾病患者脑功能提供依据。
方法：选自2007-01-01至2009-12-31我院神经内科收治的发病72小时以内、格拉斯哥昏迷计分（glasgow coma score，GCS）＜8分的重症脑血管病患者180例，采用Solar2000N神经中央监护仪对所有患者进行常规长程脑电监测，并给予相应的EEG分级和GCS评分，统计所有患者的生存和死亡人数。比较脑梗死组和脑出血组患者EEG各级构成；分析所有患者EEG构型的特点；分析EEG分级与脑疝发生率、GCS评分和预后的关系。
窗边的小豆豆全文结果：
1.脑梗死组和脑出血组患者入院时EEG各级构成比比较均无显著性差异变。
留神
2.所有患者入院时EEG全部异常，变异率达100%。在重症脑血管疾病患者EEG构型中，弥漫性慢波活动、癫痫样活动和低波幅活动较常见。所有患者中非痉挛性癫痫的发生率为17.2%，痉挛性癫痫的发生率为2.2%，两者比较有显著性差异。
entrypoint
3.A组患者脑疝发生率为17.6%，B组患者脑疝发生率为31.0%，C组患者脑疝发生率为47.5%，各组患者脑疝发生率比较有显著性差异差异。
4.EEG分级及其对应的GCS评分两者呈负相关，相关系数r=-0.732。
5.各组患者EEG分级与预后显著相关，EEG级别越高，死亡率越高，生存率越低。
6.GCS评分和EEG分级与预后有关，Logistic回归分析显示，GCS评分综合预后判断准确率7
7.2%，EEG分级综合预后判断准确率80.4%，EEG分级对预后判断的准确率略优于GCS评分。
结论：
1.脑梗死和脑出血患者入院时EEG全部异常，变异率达100%，EEG监测对
评价脑血管疾病患者脑功能有重要意义；弥漫性慢波活动、癫痫样活动和低波幅活动为重症脑血管疾病患者EEG中较常见构型；EEG监测为临床诊断非痉挛性癫痫提供了有效手段。
2. EEG分级越高，脑疝的发生率越高，EEG监测可评价脑功能损伤的程度。
3. EEG的分级越高，GCS评分越低，反之亦然，通过EEG分级可以评估重症脑血管疾病患者脑功能的受损程度。
4. EEG分级与患者预后两者关系密切，EEG监测可评估重症脑血管病患者的预后。
5.GCS评分和EEG分级与预后有关，EEG分级对预后判断的准确率略优于GCS评分。
6.EEG分级可客观地反映脑功能变化，长程EEG监测对重症脑血管病的治疗和评估重症脑血管病患者的预后具有重要的临床意义。
关键词：长程脑电图监测；重症脑血管病；脑功能障碍；GCS评分
Long-term electroencephalogram asssment of brain function in ambulatory variation of grave cerebrovascular dia
ABARACT
Objective：Electroencephalogram(EEG) is one of nsitive indexes reflecting variations of brain fun
ction, and it is operated easily by bed to provide reliable information for treating cerebrovascular dia patients and judging prognosis. EEG monitoring has an very important clinic significance for evaluating brain function of grave cerebrovascular dia patients. To analyze variation regularrity of EEG, evaluate brain function of grave cerebrovascular dia patients, we practice long-term electroencephalogram monitoring to grave cerebrovascular dia patients in purpo to provid clinic according evaluating brain function of grave cerebrovascular dia patients.
Methods：One hundred and eighty cas with the grave cerebrovascular dia : invasion within 72h and glasgow coma score(GCS)＜8 score, in Neurology Department of Chengde Medical College Affiliated Hospital from January of 2007 to December of 2009. We u Solar 2000N nerve center guardianship instrument to monitor all patients EEG, carry out relative EEG guarding and GCS grading, and calculate living number and death number of all patients. Compared with EEG grading constituent ratio of brain infarct group with brain hemorrhage group; analyzed EEG configuration feature; analyzed relationship of EEG grading and brain hernia incidence rate; analyzed relationship of GCS and prognosis.
Result：
1.EEG grading constituent ratio of brain infarct group with brain hemorrhage group on admission had no obvious significance.
2.EEG of all patients on admission were abnormal, aberration was more than 100%. Diffu slow-ware activity, eleptiform activity and down-ware amplitude were the most common form in EEG configuration of all patients;
考研英语词汇书推荐The incidence rate of non convulsive izures in all patients was 17.2%, convulsive izures 2.2%, they had obvious significance.
3.The brain hernia incidence rate in A group patients was 17.6%, B group 31.0%, C group 47.5%, they had obvious significance in each group.
4.The relationship of EEG grading and GCS was negative correlated and correlated coefficient was -0.732。
5. EEG grading and prognosis were obvious related，EEG grading level was more higher, death rate was higher and living rate was lower.
6. Logistic regression analysis show: EEG grading and GC had obvious relationship with prognosis, t
he accuracy of GCS comprehensive prognosis was 7
7.2%, the accuracy of EEG grading comprehensive prognosis 80.4%，EEG grading comprehensive prognosis was better than GCS comprehensive prognosis.
Conclusions:
外表英文1.EEG of all patients on admission were abnormal, aberration was more than 100%. Diffu slow-ware activity, eleptiform activity and down-ware amplitude were the most common form in EEG configuration of all patients; EEG monitor provided a effective method of diagnosing non convulsive izures.
2.EEG grading level was more higher, the brain hernia incidence rate was higher, EEG monitor could evalute degree of brain function injury.
3.EEG grading level was more higher, GCS score was lower; EEG grading level was more lower, GCS score was higher. EEG monitor could evalute degree of brain function injury.
4.The relationship of EEG grading and GCS had a clo relationship.EEG monitor could evalute patients prognosis.
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5.EEG grading and GCS had obvious relationship with prognosis, EEG grading comprehensive prognosis was better than GCS comprehensive prognosis.
6.EEG grading could objectively reflected variations of brain function, Long-term EEG monitoring has an very important clinic significance for
