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目的探讨振幅整合脑电图(Amplitude integrated electroencephalographic,aEEG)在足月新生儿高危脑损伤早期诊断及预后预测中的应用价值。方法对2014年1-11月272例入住我科具有脑损伤高危风险的足月新生儿进行aEEG检测,并观察其愈后。结果 272例病人中102例(37.5%)aEEG结果正常的患儿,治愈88例(86.2%),好转14例(13.8%);39例(14.3%)aEEG结果轻度异常患儿,治愈17例(43.5%,)好转22例(56.5%);131例(48.2%)aEEG结果重度异常患儿,好转85例(64.8%),未愈46例(35.2%);44例轻度窒息患儿aEEG背景活动基本正常,治愈42例(95.5%),好转2例(4.5%);92例重度窒息患儿aEEG背景活动主要为重度异常,好转63例(68.5%),未愈29例(31.5%)。结论 EEG可早期发现脑损伤并判断预后,是一项简便易行的监测新生儿脑发育成熟度的监护技术,值得推广。
Objective To investigate the value of amplitude integrated electroencephalographic (aEEG) in the early diagnosis and prognosis of high-risk brain injury in term neonates. Methods A total of 272 newborn infants with full-term risk of brain injury in our department from January 2014 to January 2014 were examined with aEEG and the prognosis was observed. Results Of 272 patients (37.5%) with normal aEEG, 88 (86.2%) were cured and 14 cases (13.8%) were cured, and 39 (14.3%) patients with mild aEEG result were cured Among the 131 cases (48.2%) with severe abnormalities of aEEG, 85 (64.8%) were improved, 46 (35.2%) were unhealed, and 44 were mild asphyxia There were 42 cases (95.5%) were cured and 2 cases (4.5%) were cured by aEEG background activity. The background activities of aEEG in 92 cases of severe asphyxia were mainly abnormal, improvement in 63 cases (68.5%), unhealed in 29 cases 31.5%). Conclusion EEG can detect brain injury early and judge the prognosis. It is a simple and easy monitoring technique to monitor the maturity of neonatal brain development and is worth promoting.