Cherian P J, Blok J H, Swarte R M, Govaert P, Visser G H
Erasmus MC, Department of Clinical Neurophysiology, University Medical Center, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands.
Neurology. 2006 Dec 26;67(12):2221-3. doi: 10.1212/01.wnl.0000249179.02171.bd.
We studied heart rate (HR) changes during 169 seizures (mean 12 per patient, range 8 to 18) in 14 neonates with severe birth asphyxia. HR changes were found in 21 seizures (12.4%) in eight patients (HR increases in four, decreases in one, and both patterns in three patients), suggesting the existence of neonatal cerebral hemispheric connections with brainstem autonomic regulatory centers. HR monitoring appears to be insensitive for detecting postasphyxial neonatal seizures.
我们研究了14例患有严重出生窒息的新生儿在169次癫痫发作期间（平均每位患者12次，范围为8至18次）的心率（HR）变化。在8例患者的21次癫痫发作（12.4%）中发现了HR变化（4例HR增加，1例HR降低，3例两种模式均有），这表明新生儿大脑半球与脑干自主神经调节中心之间存在联系。HR监测似乎对检测窒息后新生儿癫痫不敏感。
