新生儿缺氧缺血性脑病的脑电图分析  

Study of EEG in neonates with hypoxic ischemic encephalopathy

作　　者：刘玲[1] 陈爱武[2] 

机构地区：[1]安徽省巢湖市第二人民医院脑电图室,安徽巢湖238000 [2]安徽省巢湖市第二人民医院儿科,安徽巢湖238000

出　　处：《安徽医药》2005年第6期448-449,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的观察新生儿缺氧缺血性脑病脑电图监测的临床价值。方法对33例缺氧缺血性脑病的新生儿进行脑电图检查。结果缺氧缺血性脑病(HIE)患儿脑电图的总异常率为75.8%。轻,中,重度脑电图的异常率分别为24%(6/25),64%(16/25),12%(3/25)。轻,中,重度HIE患儿EEG的异常率分别为37.5%(3/8),83.3%(15/18),100%(3/3)。EEG轻度异常者后遗症发生率为0%,EEG为中,重度异常者其后遗症发生率为52%。结论EEG的异常率与HIE的临床病情的轻重呈正相关,脑电图可作为HIE急性期观察脑功能的敏感指标,有助于临床医师早期诊断,早期治疗及判断预后。Aim To observe the clinical value of EEG monitoring in neonates with hypoxicischemic encephalopathy (HIE).Methods Thirty three neonates with HIE were monitored by EEG.Results The total abnormality rate of EEG was 75.8%(25/33).The mild,moderate and severe abnormality rate ofEEG were 24%,64% and 12% respectively.The abnormality rate of EEG in neonates with mild HIE was 37.5%.In moderate and severe HIE,the abnormality rate of EEG was 83.3% and 100% respectively.The incidence rate of clinical sequelae was 0% in patients with mild abnormal EEG and 52% in patients with moderate andsevere abnormal EEG.Conclusions EEG abnormality degree might have a positive correlation with the severe degree of clinical HIE.EEG might be a sensitive index to observe the brain functions in the acute stage of neonate HIE.EEG monitoring might be helpful in early diagnosis and therapy and judgement of prognosis.

关 键 词：新生儿缺氧缺血性脑病 脑电图分析 脑电图监测 脑电图检查 HIE患儿 异常率 EEG 临床价值 临床病情 敏感指标 早期诊断 临床医师 判断预后 早期治疗 发生率 后遗症 异常者 重度 正相关 脑功能 急性期 

分 类 号：R722.12[医药卫生—儿科] R720.597[医药卫生—临床医学]