探讨脑电图在新生儿缺氧缺血性脑病诊断及病情评估中的应用.docVIP

精品论文 参考文献 探讨脑电图在新生儿缺氧缺血性脑病诊断及病情评估中的应用 大庆油田总医院 163000 【摘 要】 目的 研究分析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 此次研究的对象是选择我院确诊的46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 46例新生儿缺氧缺血性脑病患儿根据EEG结果正常EEG为8例，占17.39%；异常EEG为38例，占82.61%。对38例异常EEG分度：轻度异常为14例占36.84%、中度异常为17例占44.73%、重度异常为4例占10.52%。结论：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。 【关键词】新生儿缺氧缺血性脑病；脑电图；病情评估分期；脑电图异常分度 [Abstract] Objective To study and analyze the diagnosis and clinical staging of hypoxic ischemic encephalopathy in neonates.Methods the study was conducted to select 46 cases of neonatal hypoxic ischemic encephalopathy in our hospital，according to the clinical classification of the use of EEG diagnosis and disease assessment and classification summary.Results 46 cases of neonatal hypoxic ischemic encephalopathy in children according to the EEG results of normal EEG for 8 cases，accounting for 17.39%; abnormal EEG for 38 cases，accounting for 82.61%.On 38 cases of abnormal EEG Division： mild abnormal 14 cases accounted for 36.84%，17 cases of moderate abnormalities accounted for 44.73%，severe abnormalities accounted for 10.52% of 4 cases.Conclusion： the more severe neonatal hypoxic ischemic encephalopathy，the higher the rate of abnormal EEG，the higher the degree.Conclusion neonatal hypoxic ischemic encephalopathy can objectively and directly reflect the functional status and damage degree of the brain.EEG can not only evaluate the degree of HIE and brain damage，but also can be used to monitor the extent of the brain damage.The [Key words] neonatal hypoxic ischemic encephalopathy; EEG; stage of disease assessment; abnormal degree of EEG 新生儿缺氧缺血性脑病（HIE）新生儿期发病率较高，是围生期新生儿缺氧缺血引起的脑部病变，主要因围生期窒息缺氧引起，轻者预后良好，重者可在新生儿期死亡或造成不可逆的脑损害。脑电图能够客观反映脑功能障碍，早期评价脑功能的异常，有助于临床医师对脑功能的早期诊断。现对我院46例新生儿缺氧缺血性脑病运用脑电图进行诊断及病情评估结果进行分析总结，如下。 1 资料与方法 1.1 一般资料 我院确诊的46例新生儿缺氧缺血性脑病患儿，其中男25例，女21例；病情评估临床分度按韩玉昆新生儿HIE诊断标准［1］，将HIE患儿分为：轻度17例、中度16例