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目的:比较新生儿行为神经测定法(NANB)、计算机断层扫描(CT)与动态动态脑电图(EEG)检查对预测新生儿缺氧缺血性脑病(HIE)预后的的临床意义。方法:采用新生儿20项行为神经测定法测定足月HIE患儿52例,同时作头颅CT及动态EEG检查,并随访至1岁。结果:HIE患儿7、14天行为神经测定评分>35分,表示预后良好,≤35分提示预后不良,与头颅CT及动态脑电图检查比较具有较高的一致性。结论:用新生儿行为神经测定HIE患儿的预后是可行的,与头颅CT及动态脑电图检查比较,动态脑电图检查最为准确,头颅CT较差,NBNA有简便、经济的优越性。
Objective: To compare the clinical significance of predicting the prognosis of neonatal hypoxic-ischemic encephalopathy (HIE) with neonatal behavioral nerve assay (NANB), computed tomography (CT) and dynamic dynamic electroencephalogram (EEG). Methods: Twenty-two neonates with HIE were enrolled in this study. Fifty-two neonates with full-term HIE were enrolled in this study. CT scans and dynamic EEG were performed at the same time and were followed up to 1 year old. Results: The score of behavioral neurological assessment of children with HIE on day 7 and 14 was> 35, which indicated that the prognosis was good. The score of ≤35 points showed poor prognosis, which was consistent with the CT and EEG examination. Conclusion: The prognosis of HIE children with neonatal behavioral nerve is feasible. Compared with cranial CT and dynamic electroencephalography, dynamic EEG is the most accurate, head CT is poor, NBNA is simple and economical.