The nursing cooperation in application of VEEG in correcting iatrogenic refractory epilepsy in children / 中国实用护理杂志

ABSTRACT

Objective To explore the cooperation of video electroencephalogram (VEEG) and nursing in the use of correcting iatrogenic refractory epilepsy in children.Methods We implemented the following nursing measures:making an appointment to understand the patients' history and seizures; controlling the condition of VEEG seriously to reduce the interference of potential difference; performing the recording of the background wave of the VEEG with eyes test,hyperventilation,flash stimulation and other evoked tests; giving experiment to induce seizure,such as vertical test,hot water stimulation and so on,which was according to the characteristics of children with seizures; informing the parents and children to review the VEEG and perfect the relevant inspection to correct the diagnosis of epilepsy clearly.Results 5 patients in 9 cases had corrected the diagnosis and classification of epilepsy.2 cases who had been diagnosed as BECT (benign childhood epilepsy with centrotemporal spikes) appeared new type of seizure in the course of disease,then we diagnosed the variant of BECT,according to the characteristics of VEEG.2 cases were excluded the diagnosis of epilepsy.Conclusions During application of VEEG in the use of correcting iatrogenic refractory epilepsy in children,we should pay attention to the communication with children and parents,strictly implement monitoring standard,give testing stimulation according to characteristics of children,so that we can get real and satisfying monitoring results.