脑电图监测在新生儿缺氧缺血性脑病中的价值

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 5 0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 6 2 % (31/ 5 0 ) ,轻、中和重度异常率分别为 2 9%、4 8%和 2 3% ,临床病情轻、中和重度HIE患儿EEG异常率分别为 2 6 %、77%和 10 0 %。EEG轻度异常者其临床后遗症发生率为 4 % ,EEG中、重度异常者其发生率则为 38%。结论 :EEG异常率与HIE临床病情轻重程度呈正相关 ,EEG异常程度越重则临床后遗症发生率越高。

EEG monitoring and prognosis value of neonates with hypoxicoischemic encephlaopathy

Objective:To observe the clinical value of EEG monitoring in neonates with hypoxicoischemic encephalopathy(HIE). Methods:Fifty 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%(31 cases)in the 50 neonates with HIE.The mild,moderate and severe abnormality rate of EEG 29%,48% and 23% respectively.The abnormality rate of EEG,in neonates with mild HIE was 26%.In moderate and severe HIE,the abnormality rate of EEG was 77% and 100% respectively.The incidence rate of clinical sequelae was 38% in patients with moderate and severe abnormal EEG and 4% in patients with mild abnormal EEG.Conclusion:EEG abnormality degree might have a positive correlation with the severe degree of clinical HIE.The more severe the abnormal EEG,the high incidence of the clinical sequelae.