早期脑电图监测在新生儿缺氧缺血性脑病中的诊断价值  

Prognostic Value of Early Electroencephalogram Monitoring 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5期38-39,共2页Chinese Primary Health Care

摘　　要：目的探讨脑电图(EEG)对窒息新生儿早期诊断脑损伤的价值。方法对2008年4月—2010年4月在我院住院的40例窒息新生儿于出生后12h内进行EEG检查。结果在40例新生儿中,诊断为缺氧缺血性脑病(HIE)的患儿有36例,EEG异常的有32例,异常率为80.0%;确诊的HIE患儿EEG异常率达88.9%,EEG异常程度与HIE临床分度基本一致,EEG表现与HIE预后密切相关,中重度EEG改变者预后差。结论新生儿窒息12h即可出现EEG改变,EEG监测可直接、客观地反映脑功能的状态及损伤程度,有利于早期发现窒息缺氧后的脑功能异常。OBJECTIVE To explore the value of electroencephalogram（EEG）in early diagnosis of brain injury in neonates with asphyxia. METHODS EEG examination was performed in 40 neonates with asphyxia within 12 hrs of births. RESULTS 32（80.0%）cases out of the 40 patients with the HIE showed abnormal EEG. The rate of the clinical HIE with EEG abnormalities was 88.9%（32/36）. The degree of EEG abnormality in neonates with HIE was cosistent with the clinical grading of HIE. EEG manifestation is related closely with HIE, Moderate-severe EEG has very poor prognosis. CONCLUSIONS EEG monitoring can be objectively,directly reflect the functional status of the brain and has special value on the extent of damage on the early detection of brain dysfunction asphyxia.

关 键 词：新生儿窒息 脑电图 缺氧缺血性脑病 诊断价值 

分 类 号：R722.1[医药卫生—儿科]