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 hypoxic-ischemic encephalopathy

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45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62.2%,轻、中和重度异常率分别为28.9%、20.0%、13.3%,临床病情轻、中、重度HIE患儿EEG异常率为36.4%、80.0%、100.0%。EEG轻度异常者其临床后遗症发生率为7.7%,EEG中、重度异常者其发生率则为53.3%。结论:EEG异常率随着脑损伤程度的加重而增高,EEG异常程度越重则临床后遗症发生率越高。

Objective： To observe the clinical value of EEG monitoring in neonatre with hypoxic - ischemic encephalopathy （HIE） . Methods： Forty five 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. 2% （28 cases） in the 45 neonates with HIE. The mild, moderate and severe abnormality rate of EEG was 28.9%, 20.0% and 13.3% respectively. The abnormlity rate of EEG, in neonates with mild HIE was 36. 4%. In moderate and severe HIE, the abnormality rate of EEG was 80. 00% and 100. 0% respectively. The incidence rate of clini- cal sequelae was 53.3% in patients with moderate and severe abnormal EEG and 7.7% in patients with mold abnormal EEG. Conclusion： EEG abnormality degree might have a positive relation to cerebral injury degree.