振幅整合脑电图在临床上应用-现代临床医学.docVIP

本文编辑：魏银松 2014-09- 编辑加工 魏 2014-09- 送主任加工振幅整合脑电图在新生儿科的主要临床应用 贾雯，李清平（泸州医学院附属医院，646000） 振幅整合脑电图(aEEG)具有操作方便、图形直观、容易分析判断等特点，且受干扰机会较小，便于长时间描记，在新生儿重症监护病房非常实用。目前临床上分析aEEG主要有3种判读方法，各有特点。本文简要介绍aEEG在临床上的应用，包括研究较多的新生儿窒息及其引起的脑损伤、筛选治疗对象、亚低温治疗以及新生儿惊厥、早产儿脑成熟度的评估、胆红素脑病、神经系统感染、低血糖脑病、代谢性疾病等的诊断及疗效评估等。 振幅整合脑电图；新生儿；方法 类号R722.1 [文献标识码] doi:10.11851/j.issn.1673-1557.2014.00.000 优先数字出版地址： The Mainly Application of Amplitude Integrated Electroencephalogram (aEEG) in Department of neonatology Reviewer: JIA Wen, Reviser: LI Qingping (Department of neonatology, The Hospital Affiliated of Luzhou Medical College, Luzhou, Sichuan 646000， China) [Abstract]The amplitude integrated electroencephalogram (aEEG) possess the features of not only easy to operation and analysis judgment ,graphics intuitive,but also the less interference can be tracing for a long time. So it is very practical in neonatal intensive care unit. At present, there are mainly three kinds of classification methods in clinical analysis of aEEG.They are each have characteristics. In this paper, a brief introduction about the aEEG in clinical application.Including the study of neonatal asphyxia and its screening for and treatment of objects, brain damage, caused by the low temperature treatment; And the evaluation of neonatal convulsions, premature brain maturity, bilirubin encephalopathy, infection of the nervous system, hypoglycemic encephalopathy and metabolic disease diagnosis and curative effect evaluation. [Key words] the amplitude integrated electroencephalogram (aEEG)；eonatology；ntensive care method 振幅整合脑电图(amplitude integrated electroencephalography, aEEG)是指所有通过振幅波分析脑电图的方法经典的aEEG是简单化的单通道的脑电监测系统。自aEEG进入临床应用以来，多数研究已证实aEEG与常规EEG之间有很好的一致性而且aEEG在背景波形的获得及分类上更有优势。同时也没有发现任何由aEEG记录或针状电极使用所引起的并发症。新型数字化振幅整合脑电图监护仪还可以利用数目不等的电极和导联同时记录aEEG和标准EEG，实现整合后波谱带上的点即刻还原为原始脑电图形，同步进行视频监测，更好排除伪迹的干扰，增加图谱判读的准确性，更便于分析和判断，值得临床推广。目前，aEEG主要应用于足月儿脑功能的监测，如需要亚低温等干预的中重度ypoxic-ischemic encephalopathy，HIE）患儿[1]预测其远期神经预后[23]，对新生儿惊厥进行监测[45]，早