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情绪障碍儿童和青少年的脑电图检查(作者译)

[Electroencephalographic examinations in emotionally disturbed children and adolescents (author's transl)].

作者信息

Christiani K, Siebert R, Völker B

出版信息

Fortschr Neurol Psychiatr Grenzgeb. 1977 May;45(5):321-30.

PMID:586198
Abstract

Electroencephalographic examinations were conducted on 250 emotionally disturbed children and adolescents (175 boys and 75 girls) between the ages of 6 and 18. ll8 (47.2%) of the children and adolescents had an EEG which corresponded with their age group. 88 (35.2%) of the patients showed a HV alteration without any pathological graphologic elements. The electroencephalography in 44 cases (17.6%) clearly showed abnormal and/or pathological alterations. Frequently conspicuous findings were present in children with aggressive behavior, learning problems, anxiety syndromes as well as enuresis and encopresis. The alterations were less pronounced in those children who stuttered and the obsessive neurotics. No statistical significance, however, could be established. A correlation could not be established between a particular psychological symptom and a specific EEG alteration. Our results correspond in this regard with those presented in the literature. The majority of the authors, however, recorded conspicuous EEG findings much more frequently than we did. Basically, an electroencephalographic examination for emotionally disturbed children seems to be necessary for the recognition of somatic factors. For the evaluation, however, the range of variation of the normal encephalogram in children and its special characteristics at various age levels should be taken into consideration.

摘要

对250名6至18岁情绪障碍儿童及青少年(175名男孩和75名女孩)进行了脑电图检查。118名(47.2%)儿童及青少年的脑电图与他们的年龄组相符。88名(35.2%)患者出现了过度换气改变,但无任何病理性图形学特征。44例(17.6%)患者的脑电图明显显示出异常和/或病理性改变。在有攻击行为、学习问题、焦虑综合征以及遗尿和遗粪症的儿童中,常出现明显的脑电图表现。口吃儿童和强迫性神经症患者的脑电图改变不太明显。然而,未发现统计学意义。特定心理症状与特定脑电图改变之间未发现相关性。在这方面,我们的结果与文献报道的结果一致。然而,大多数作者记录到明显脑电图表现的频率比我们高得多。基本上,对情绪障碍儿童进行脑电图检查对于识别躯体因素似乎是必要的。然而,在评估时,应考虑儿童正常脑电图的变化范围及其在不同年龄阶段的特殊特征。

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