Whitelaw Andrew, White Robert D
Neonatal Medicine, University of Bristol Medical School, Southmead Hospital, Bristol BS10 5NB, United Kingdom.
Clin Perinatol. 2006 Sep;33(3):667-77, vii. doi: 10.1016/j.clp.2006.06.006.
Continuous electroencephalography can contribute useful information to clinical decision-making in neonatal care. Equipment is now reliable and user-friendly enough that its use can be taught to medical and nursing staff so that a 24-hour capability is achieved. It is possible to teach neonatologists, in a 1-day course, background knowledge on EEG and amplitude-integrated EEG (aEEG), recognition of aEEG patterns that have clinical significance, recognition of seizures using aEEG and "raw" EEG, the essentials of electrode placement for aEEG, and interpretation of findings in the clinical context. This must be followed up by background reading, frequent peer-review sessions on EEG recordings, and a reliable system for storing and access, as well as willingness to consult experienced operators elsewhere.
连续脑电图可为新生儿护理中的临床决策提供有用信息。现在设备足够可靠且便于使用，能够将其使用方法传授给医护人员，从而实现24小时监测能力。在为期一天的课程中，可以向新生儿科医生传授脑电图和振幅整合脑电图（aEEG）的背景知识、具有临床意义的aEEG模式识别、使用aEEG和“原始”脑电图识别癫痫发作、aEEG电极放置要点以及在临床背景下对检查结果的解读。这之后必须进行背景阅读、就脑电图记录频繁开展同行评议会议，建立可靠的存储和访问系统，并且愿意向其他地方经验丰富的操作人员咨询。
