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脑电图作为子痫的预测指标。

Electro-encephalogram as predictor of eclampsia.

作者信息

Farhan Fatin Shallal, Farhan Ala'a Shallal, Abbas Mustafa Fadil, Hameed Ban Hadi

机构信息

Department of Obstetrics and Gynecology, Al-Mustansiriya University, Baghdad, Iraq.

Department of Neuro Medicine, Al-Mustansiriya University, Baghdad, Iraq.

出版信息

J Pak Med Assoc. 2019 Aug;69(Suppl 3)(8):S64-S67.

PMID:31603880
Abstract

OBJECTIVE

To assess the efficacy of using electroencephalographic changes for predicting eclampsia.

METHODS

The observational case-control study was conducted in the Obstetrics Department of Al-Yarmouk Teaching Hospital, Baghdad, Iraq, from April 1, 2016, to April 1, 2018, and comprised women with singleton pregnancy who had 24-40 weeks of gestation. They were divided into two groups as preeclamptic cases and normotensive controls. The groups were compared regarding electroencephalographic changes and the development of eclampsia in those with abnormal changes. Data was analysed using EVEIWS 9.

RESULTS

Of the 100 subjects, 50(50%) were in each of the two groups. There was no significant difference between the groups in terms of demographic and clinical data (p>0.05) except blood pressure (p<0.05). Among the patients, 31(62%) had electroencephalographic abnormalities, while among the controls 3(6%) showed abnormal waves (p<0.001)..Focal sharp and intermittent slow waves were the commonest abnormal waves detected but the percentages of these waves between the groups were statistically not significant (p>0.05).

CONCLUSIONS

Women with preeclampsia were found to have electroencephalographic abnormalities which might predict an eclamptic fit.

摘要

目的

评估利用脑电图变化预测子痫的疗效。

方法

2016年4月1日至2018年4月1日在伊拉克巴格达的阿尔亚尔穆克教学医院妇产科进行了一项观察性病例对照研究,纳入孕周为24 - 40周的单胎妊娠女性。她们被分为子痫前期病例组和血压正常对照组。比较两组的脑电图变化以及脑电图变化异常者中子痫的发生情况。使用EVEIWS 9软件进行数据分析。

结果

100名受试者中,两组各有50名(50%)。除血压外(p<0.05),两组在人口统计学和临床数据方面无显著差异(p>0.05)。患者中31名(62%)脑电图异常,而对照组中有3名(6%)出现异常波(p<0.001)。局灶性尖波和间歇性慢波是检测到的最常见异常波,但两组间这些波的百分比在统计学上无显著差异(p>0.05)。

结论

发现子痫前期女性存在脑电图异常,这可能预示着子痫发作。

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