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脑电图监测在新生儿缺氧缺血性脑病中的价值

EEG monitoring and prognosis value of neonates with hypoxicoischemic encephlaopathy

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【作者】 陈旭艳

【Author】 CHEN Xuyan Shaowu Municipal Hospital,Shaowu,Fujian Province(354000), China

【机构】 邵武市立医院医技科 354000福建邵武

【摘要】 目的 :观察脑电图 (EEG)监测在新生儿缺氧缺血性脑病 (HIE)中的临床价值。方法 :对 5 0例HIE患儿进行EEG监测并评价EEG结果与临床后遗症的关系。结果 :EEG总异常率为 6 2 % (31/ 5 0 ) ,轻、中和重度异常率分别为 2 9%、4 8%和 2 3% ,临床病情轻、中和重度HIE患儿EEG异常率分别为 2 6 %、77%和 10 0 %。EEG轻度异常者其临床后遗症发生率为 4 % ,EEG中、重度异常者其发生率则为 38%。结论 :EEG异常率与HIE临床病情轻重程度呈正相关 ,EEG异常程度越重则临床后遗症发生率越高。

【Abstract】 Objective:To observe the clinical value of EEG monitoring in neonates with hypoxicoischemic encephalopathy(HIE). Methods:Fifty neonates with HIE were monitored by EEG to evaluate the relationship between clinical sequelae of HIE and results of EEG examination. Results:The total abnormality rate of EEG was 62%(31 cases)in the 50 neonates with HIE.The mild,moderate and severe abnormality rate of EEG 29%,48% and 23% respectively.The abnormality rate of EEG,in neonates with mild HIE was 26%.In moderate and severe HIE,the abnormality rate of EEG was 77% and 100% respectively.The incidence rate of clinical sequelae was 38% in patients with moderate and severe abnormal EEG and 4% in patients with mild abnormal EEG.Conclusion:EEG abnormality degree might have a positive correlation with the severe degree of clinical HIE.The more severe the abnormal EEG,the high incidence of the clinical sequelae.

【关键词】 新生儿脑缺氧脑缺血脑电图预后
【Key words】 NeonatesCerebral anoxiaCerebral ischemiaEEG,Prognosis
  • 【文献出处】 临床神经电生理学杂志 ,Journal of Clinical Electroence Physiology , 编辑部邮箱 ,2004年04期
  • 【分类号】R722.12
  • 【被引频次】8
  • 【下载频次】40
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