振幅整合脑电图连续监测新生儿脑功能的意义

The Significance of Amplitude-Integrated Electroencephalogram in the Continuous Cerebral Function Monitoring of Neonates

振幅整合脑电图(aEEG)通过单通道系统连续监测大脑电活动,用于加强神经功能监测,反映脑功能情况。aEEG因其操作简单,方便床边监测,在临床上很适合应用于新生儿这一特殊群体评估脑功能及其预后。目前在新生儿病房aEEG主要用于评估足月儿缺氧缺血性脑病及癫痫的预后和早产儿脑室内出血及脑室周围白质软化的预后。该文对aEEG原理、判读方法、临床意义、局限性及未来可能发展方向而进行简要综述。

Amplitude-integrated electroencephalogram（ aEEG） is a kind of simplified graphic,used to strengthen the neural function monitoring,which can reflect the state of brain function through continuously monitoring brain electrical activity. aEEG,because of its simple operation and convenient bedside monitoring, is regarded as a suitable tool to evaluate neonatal brain function and prognosis in clinical. Currently,aEEG is mainly used for evaluating the prognosis of hypoxic-ischemic encephalopathy and seizures of full term,also periventricular leukomalacia and intraventricular hemorrhage in preterm neonates. Here is to make a review of the aEEG principle,interpretation methods,clinical implications,limitations and possible future development directions.