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[腰椎内注入空气与一氧化二氮对癫痫发作患者治疗效果的比较分析]

[Comparative analysis of the therapeutic effect of endolumbar insufflation of air and nitrous oxide in patients with epileptic seizures].

作者信息

Miakotnykh V S

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(6):907-11.

PMID:6547799
Abstract

A total of 272 patients with epileptic seizures were examined and treated, using pneumoencephalography (PEG). In 185 cases, the cerebral fluid was insufflated with air and in 87 cases with nitrous oxide. Nitrous oxide was administered at a faster rate and in larger amounts but the patients tolerated this manipulation much easier. In the nitrous oxide group, the seizures abated in 49 patients (56.32%). In the air group, remission occurred in 45 patients (23.78%). A more prominent therapeutic effect of nitrous oxide was observed in all patients irrespective of either their age or the etiology, character and frequency of epileptic attacks or the EEG and PEG changes. Nitrous oxide is recommended for wide application for diagnostic and therapeutic purposes.

摘要

共有272例癫痫发作患者接受了气脑造影术(PEG)检查和治疗。其中185例患者用空气注入脑脊液,87例患者用一氧化二氮注入脑脊液。一氧化二氮注入速度更快、量更大,但患者对这种操作的耐受性要好得多。在一氧化二氮组中,49例患者(56.32%)的癫痫发作得到缓解。在空气组中,45例患者(23.78%)病情缓解。无论患者年龄、癫痫发作的病因、特征和频率,还是脑电图和PEG变化如何,在所有患者中均观察到一氧化二氮具有更显著的治疗效果。建议广泛应用一氧化二氮进行诊断和治疗。

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