PROGNOSTIC VALUE OF ELECTROENCEPHALO-GRAPHY BACKGROUND ACTIVITIES IN ASPHYXIATED NEONATES

来源 :Medical Bulletin of Shanghai Jiaotong University | 被引量 : 0次 | 上传用户:xytw895
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective To identify the changes in the electroencephalography (EEG) background activities in asphyxiated neonates and to determine the prognostic value of these changes in neurological outcomes.Methods A total of 46 asphyxiated neonates and 31 healthy newborns were studied using standard EEG.Forty-three neonates from the asphyxiated group were followed up and had neurological examinations and developmental assessments at 3,6,9 and 12 months of age.The parameters that had prognostic significance were statistically analyzed,and the correlations of these parameters with neurological outcome were estimated.Results ①Significant EEG changes were found in asphyxiated neonates:a longer maximum duration of interburst interval,lower amplitudes during all states,and a higher incidence of brief burst and sleep-wake cycle disturbance.②There were significant correlations between hypoxic-ischemic encephalopathy (HIE) classification,debased amplitude,positive spikes and sharp waves,and abnormal sleep cycles.③Gestational age,birth weight,EEG amplitude,severity of HIE,occurrence of sleep-wake cycle disturbance,and imaging abnormality were found to be important markers for predicting the outcome of neonates with asphyxia.Conclusion The study suggested that changes in the EEG background activities correlated with the prognosis of neonates with asphyxia.EEG is an effective tool for predicting the neurologic outcome of asphyxiated newborns. Objective To identify the changes in the electroencephalography (EEG) background activities in asphyxiated neonates and to determine the prognostic value of these changes in neurological outcomes. Methods A total of 46 asphyxiated neonates and 31 healthy newborns were studied using standard EEG. Forty-three neonates from the asphyxiated group were followed up and had neurological examinations and developmental assessments at 3, 6, 9 and 12 months of the parameters that had prognostic significance were predicted and the correlations of these parameters with neurological outcome were estimated. Results ①Significant EEG changes were found in asphyxiated neonates: longer duration of interburst interval, lower amplitudes during all states, and a higher incidence of brief burst and sleep-wake cycle disturbances. ② There were significant correlations between hypoxic-ischemic encephalopathy (HIE) classification, debased amplitude, positive spikes and sharp waves, and abnormal sleep cycles. ③Gestational age, birth weight, EEG amplitude, severity of HIE, occurrence of sleep-wake cycle disturbance, and imaging abnormality were found to be important markers for predicting the outcome of neonates with asphyxia.Conclusion The study suggested that changes in the EEG background activities correlated with the prognosis of neonates with asphyxia. EG is an effective tool for predicting the neurologic outcome of asphyxiated newborns.
其他文献
1994年,我国顺利进行了财税、金融、外汇、外贸、投资、价格和流通等宏观经济体制方面的改革,在建设社会主义经济体制方面迈出了关键性的步伐,为深化企业改革创造了有利的宏
1992年,江苏省金湖县着力调整渔业产业结构,发展市场经济,积极推广发展名特优新水产品养殖,取得显著成效,全县名特优新水产品养殖面积达到3万多亩,特别是湖荡围拦鱼蟹混养和
最近,汝城县委、县政府作出决定,从以下几个方面改善中小学教师的生活待遇.一、补贴业务资料费.小教三级、中教五级和1966年前入学的大专毕业生、1958年前入学的中专毕业生
1992年,山东省莱州市紧紧依靠先进的养殖技术,大力兴办海水养殖业,取得了显著效果,养殖的2.74万亩(0.18万ha)中国对虾实现了扭亏增盈,近千亩实施充气技术措施,养殖的中国对
请下载后查看,本文暂不支持在线获取查看简介。 Please download to view, this article does not support online access to view profile.
今年5月刚刚结束的上海车展一口气亮相了17款电动汽车,有雪佛兰Volt这样的增程式电动车,也有比亚迪“铁电池”的本土电动车方案,更有海马等一些厂家推出的纯电动双座小车。这
为了免受因江河湖海阻隔而使火车长距离迂回运输之苦,终于产生了水上铁路。 水上铁路,就是使列车车辆直接驶在一种特制的巨型渡轮上,然后跨越江、河、湖、海直抵彼岸。它集
近几年来,我国水产界中一些老专家、老教授相继退休。据初步的调查,目前这些离退休专家、教授面临的处境大约概括为三种情况: 1、回聘发挥余热,在其原来研究或教学岗位上培
所谓汽车行驶特性,指的是汽车在不同的行驶状态下,车辆各车轮行驶轨迹与车辆各部位的位移变化。比如,汽车在直线行驶时,车辆前后轮的行驶轨迹是重合的,车辆的各部位也是顺着
图书馆依靠自己得天独厚的优势,改变过去的以馆藏为依托的各种各样的信息服务方式,建立现代的、利用先进的科学技术,将馆藏文献信息单元化、服务手段现代化、服务内容针对化