持续脑电监测对新生儿缺氧缺血性脑病的治疗及预后价值  

Value of Continuous EEG Monitoring in Treatment and Prognosis of Neonatal Hypoxic Ischemic Encephalopathy

作　　者：龙琦[1] 陈传贵[1] 王舞妮 

机构地区：[1]深圳市第二人民医院儿科,广东深圳518035

出　　处：《实用临床医学（江西）》2017年第3期42-43,共2页Practical Clinical Medicine

摘　　要：目的评定持续脑电监测(cEEG)对新生儿缺氧缺血性脑病(HIE)的治疗及预后价值。方法选取HIE患儿63例,均进行cEEG,根据HIE严重程度将患儿分为轻度组(n=19)、中度组(n=38)和重度组(n=6),比较3组患儿的cEEG异常率和不良预后率的关系。结果 cEEG异常率比较:中度组、重度组高于轻度组(P<0.05),重度组高于中度组(P<0.05)。不良预后率比较:中度组、重度组高于轻度组(P<0.05),重度组高于中度组(P<0.05)。结论 cEEG对HIE新生儿预后的判断有一定的价值,可根据EEG结果指导治疗。Objective To evaluate the value of continuous electroencephalogram(cEEG)monitoring in the treatment and prognosis of neonatal hypoxic ischemic encephalopathy(HIE).Methods According to the severity of HIE,63 neonates were divided into three groups:mild group(n=19),moderate group(n=38)and severe group(n=6).The rates of EEG abnormalities and poor prognosis were observed in all the three groups.Results Compared with moderate group,the rates of EEG abnormalities and poor prognosis significantly increased in severe group,but obviously decreased in mild group(P<0.05).Conclusion The cEEG monitoring can be used to judge prognosis and to guide treatment in neonates with HIE.

关 键 词：新生儿 持续脑电监测 缺氧缺血性脑病 预后 

分 类 号：R722.121[医药卫生—儿科]