脑电图在新生儿缺氧缺血性脑病诊断及病情评估中的作用分析

EEG in hypoxic-ischemic encephalopathy in the diagnosis and assessment of the role of disease analysis

目的探讨脑电图对新生儿缺氧缺血性脑病的诊断与临床病情分期分析总结。方法将我院确诊的120例新生儿缺氧缺血性脑病患儿,根据临床分度运用脑电图进行诊断及病情评估与分度总结。结果 120例新生儿缺氧缺血性脑病患儿根据EEG结果正常EEG为23例,占19.2%;异常EEG为97例,占80.8%。对97例异常EEG分度:轻度异常为38例占39.2%、中度异常为46例占47.4%、重度异常为13例占13.4%。结果显示:新生儿缺氧缺血性脑病程度越重,脑电图异常率越高,程度也越重。结论新生儿缺氧缺血性脑病能客观、直接地反映脑的功能状态及损害程度。脑电图不仅能较好地评价HIE与脑损伤的程度,而且重复性能好、无创、可动态监测。

Objective To investigate the EEG on neonatal hypoxic-ischemic encephalopathy stage disease diagnosis and clinical analysis summary.Methods The hospital diagnosed 120 cases of neonatal hypoxic-ischemic encephalopathy,according to the clinical use of EEG for diagnosis and degree of the condition assessment and indexing summary.Results 120 cases of neonatal hypoxic-ischemic encephalopathy results based on EEG：normal EEG of 23 cases,accounting for 19.2%,abnormal EEG of 97 cases,accounting for 80.8%.97 cases of abnormal EEG indexing：mild abnormalities and 38 cases accounted for 39.2%,moderately abnormal in 46 cases accounted for 47.4%,and severe abnormalities of 13 cases accounted for 13.4%.The results showed that：hypoxic-ischemic encephalopathy more severe,the higher rates of EEG abnormalities,more severe degree.Conclusion Neonatal hypoxic-ischemic encephalopathy can objectively and directly reflect the brain＇s functional status and extent of the damage.EEG evaluation of HIE can not only better with the extent of brain damage,and repeat the performance,non-invasive,dynamic monitoring.