妇儿健康导刊2024，Vol.3Issue(9)：189-193,5.
早期振幅整合脑电图评分系统在晚期早产儿脑损伤中的临床价值
Clinical value of early amplitude-integrated electroencephalography scoring system in late preterm infants with brain injury
摘要
Abstract
Objective To investigate the clinical value of early amplitude-integrated electroencephalography(aEEG)scoring system in late preterm infants with brain injury.Methods A total of 84 preterm infants with gestational age>34 weeks admitted to the Neonatal Intensive Care Unit of Hangzhou First People's Hospital from January 2021 to October 2023 who survived discharge were selected.Brain function monitoring was performed within 6 hours after birth.The aEEG scoring system was used to analyze the differences of aEEG images and total scores of preterm infants with different severity of brain injury.The receiver operating characteristic curve of subjects was drawn to analyze the diagnostic efficiency of aEEG scoring system for moderate and severe hemorrhagic brain injury in preterm infants.Results Skull ultrasound results showed that among the 84 preterm infants,43 cases were normal control group,29 cases were mild injury group and 12 cases were moderate and severe injury group.Continuity(Co),sleep-wake cycle(Cy),amplitude of the lower bordere(LB),bandwidth and lower boundary amplitude(B)and total score(T)were compared among the three groups,and the differences were statistically significant(P<0.05).Co,Cy,LB,Cy,B,T in moderate and severe injury group were lower than those in normal control group and mild injury group(P<0.05).Cy in mild injury group was lower than that in normal control group(P<0.05).The sensitivity and area under the curve of combined diagnosis were higher than those of single index,the sensitivity and area under the curve of T were higher than those of other single index,and the specificity of Co was the highest(P<0.05).Conclusion The aEEG scoring system has high clinical value in the diagnosis of brain injury in late preterm infants,and the combined use of Co,Cy,LB,Cy,B and T has high diagnostic value.关键词
振幅整合脑电图/晚期早产儿/脑损伤/诊断Key words
Amplitude-integrated electroencephalography/Late preterm infant/Brain injury/Diagnosis分类
临床医学引用本文复制引用
贾新慧,卢燕,娄新睿,胡雯霞,张志群..早期振幅整合脑电图评分系统在晚期早产儿脑损伤中的临床价值[J].妇儿健康导刊,2024,3(9):189-193,5.基金项目
浙江省杭州市生物医药和健康产业发展扶持科技专项(2021WJCY266). （2021WJCY266）
