脑电图监测对新生儿缺氧缺血性脑病的预后评估  

Follow-up of Electroencephalogram in Newborn with Hypoxic Ischemic Encelphalopathy

作　　者：陈莉琳[1] 张德雄[1] 陈丹[1] 

机构地区：[1]汕头市妇幼保健院,广东汕头515041

出　　处：《中国初级卫生保健》2011年第4期61-62,共2页Chinese Primary Health Care

摘　　要：目的对缺氧缺血性脑病(HIE)患儿进行随访观察,以评估脑电图(EEG)在判断HIE预后中的价值。方法对存活的33例HIE患儿进行体格检查及智力测试,评估其临床后遗症与新生儿期EEG的关系。结果 36例HIE患儿新生期EEG显示,电静息3例,其中死亡2例,1例严重智力低下合并癫痫;爆发抑制1例,最终死亡。EEG中重度异常后遗症发生率为35.0。结论大脑病变的严重程度与脑电图的异常成正相关关系,临床症状越重,脑电图异常率越高。新生儿EEG不仅能够评价脑发育程度,更重要地是能反映脑功能状态及其损伤程度,新生儿EEG可作为HIE早期预后判断的一种重要检查手段。OBJECTIVE To evaluate prognostic value of electroencephalogram（EEG）in newborn with hypoxic ischemic encelphalopathy（HIE）.METHODS We followed up 33 cases from the 36 survivors suffered from HIE randomly by doing physical examination,intelligence test.Their clinical outcome was campared to their EEG in the first month after birth.RESULTS Among 36 cases newborn,there are three newborn whose EEG showed electrical silence and one whose EEG showed burst suppression.The three electricalsilence newborn cases,two dead and one developed low IQ and epilepsy.The one of burst suppression found in the EEG lead to deadth.Incidence of sequelae in moderate-severe abnormal EEG was 35.0.CONCLUSIONS The degree of brain pathological change might have a positve correlation with the EEG abnormality degree.The EEG of the newborn can not only value the brain development,but also can reflect the functional status of the brain,it＇s very important to the valuation on the extent of damage.The EEG of the newborn can be an important way to prognosticate HIE.

关 键 词：新生儿 HIE 脑电图 预后 

分 类 号：R173[医药卫生—妇幼卫生保健]