非惊厥性癫痫持续状态诊断治疗方面的研究进展
Progress in the Diagnosis and Treatment of Non-Convulsive Status Epilepticus

DOI: 10.12677/IJPN.2019.83005, PP. 25-29

Keywords: 非惊厥性癫痫，癫痫持续状态，临床特征，抗癫痫治疗
Non-Convulsive Epilepsy, Status Epilepticus, Clinical Characteristics, Antiepileptic Therapy

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Abstract:

非惊厥性癫痫持续状态(NCSE)最初是在慢性癫痫患者中报道的，但目前发现在其他患者的群体中出现的频率也有所增加，尤其是在危重患者中。NCSE是指持续性脑电发作导致大非惊厥性临床症状，通常定义为> 30分钟。目前建议将持续时间的标准从30分钟缩短为5分钟。此外，有一点并不是很清楚，即脑电图上的电活动对临床损害或持续性的神经元损伤的影响程度如何。NSCE的诊断和治疗并不简单，取决于很多因素，包括临床背景、病因、EEG的结果和患者的临床状况。本文就近年来国内外对NCSE的诊断与治疗方面的研究进展进行综述。
Non-convulsive status epilepticus (NCSE) was initially reported in patients with chronic seizures, but it has also been found to have increased frequency in other groups of patients, especially in critically ill patients. NCSE refers to large non-convulsive clinical symptoms caused by persistent EEG attacks, usually defined as >30 minutes. It is now recommended that the standard duration be reduced from 30 minutes to 5 minutes. In addition, it is not clear how much does electroencephalogram (EEG) electrical activity affect clinical damage or persistent neuronal injury. The diagnosis and treatment of NCE are not simple, depending on many factors, including clinical background, etiology, the results of EEG and the clinical status of the patients. In this paper, the research progress in the diagnosis and treatment of NCSE at home and abroad in recent years is reviewed.

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