脑电图监测在新生儿缺氧缺血性脑病中的诊断意义

THE SIGNIFICANCE ON EEG MOITORING IN THE DIAGNOSIS OF HYPOXIC ISCHEMIC ENCEPHALOPATHY

目的:探讨脑电图(EEG)监测对新生儿HIE病情诊断的价值。方法:回顾性分析69例缺氧缺血性脑病(HIE)患儿的脑电图检查表现。结果:69例HIE患儿的EEG异常率为73.9%(51/69);其中EEG轻度异常为44.2%(23/52),中度为42.3%(22/52),重度为13.5%(7/52)。EEG异常率轻度HIE为55.3%(21/38),中度HIE为96.2%(25/26),重度为HIE的EEG全部为重度异常(100%)。结论:脑电图能客观、直接地反映脑细胞的功能状态及损害程度,对早期发现窒息缺氧后脑功能异常具有特殊价值。

Objective：To explore value on electroenphalogram（EEG） monitoring in diagnosis of HIE condition. Methods：The EEG of 69 cases with hypoxicischemic encephalopathy （HIE）was analyzed retrospectively. Rsults：The abnormal rate of EEG of 69 cases with HIE was 73.9% （51/69） ;mild EEG abnormal rate was 44.2% （ 23/52 ）, moderate was 42.3 % （22/52）, severe was 13.5 % （ 7/52 ）. The abnormal rate of EEG of patients with mild HIE was 55.3% （21/38） ,moderate HIE was 96.2% （25/26） ,severe HIE was 100%. Conelusion：EEG can reflect objectively directly the functional status of brain cells and the extent of damage and is of special value in the early detection of brain dysfunction after asphyxia.