摘要
Abstract
Objective To explore the diagnostic and prognostic value of electroencephalogram combined with magnetic resonance imaging(MRI)for acute bilirubin encephalopathy(ABE)in children with different grades.Methods A total of 80 children with ABE who were hospitalized in the Department of Neonatology,Mudan People's Hospital of Heze City from January 2021 to January 2023 were selected as the research objects.The electroencephalogram and MRI tests were performed on them,and the G/P ratio and power spectrum values of 9 electrodes were calculated.Receiver operating characteristic(ROC)curve was used to analyze the value of electroencephalogram combined with MRI in the diagnosis and prognosis of ABE.Results The number of misdiagnosis cases of ABE in different grades by electroencephalogram was 5 cases for mild,2 cases for moderate,and 3 cases for severe.The number of misdiagnosis cases of ABE in different grades by MRI was 2 cases for mild,1 case for moderate,and 1 case for severe.The number of misdiagnosis cases of ABE in different grades by electroencephalogram combined with MRI was 1 case for mild.The G/P ratio,O1,O2,T3,T4,C3,C4,Cz,Fp1,and Fp2 power spectrum values of poor prognosis group were higher than those of good prognosis group(P<0.05).ROC curve results showed that the area under the curve of electroencephalogram combined with MRI in predicting ABE prognosis was higher than that of single examination.Conclusion The power spectrum values of 9 electrodes and MRI G/P ratio of ABE children change significantly,and all of them are related to clinical grade and prognosis.Combined detection can improve prognosis prediction and grading diagnosis efficiency.关键词
脑电图/磁共振/小儿胆红素脑病/联合诊断Key words
Electroencephalogram/Magnetic resonance imaging/Bilirubin encephalopathy in children/Joint diagnosis分类
医药卫生
