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[连续双道脑电图:描述、应用、益处与缺陷]

[Continuous two channel electroencephalography: description, applications, benefits and pitfalls].

作者信息

Bednarek N, Delebarre G, Saad S, Loron G, Mezguiche F, Morville P

机构信息

Service de médecine néonatale et de réanimation pédiatrique, hôpital Alix-de-Champagne, 49 rue Cognacq-Jay, Reims cedex, France.

出版信息

Arch Pediatr. 2008 Aug;15(8):1326-31. doi: 10.1016/j.arcped.2008.04.033. Epub 2008 Jun 26.

Abstract

Children, term and preterm newborn care require electrophysiologic investigations for seizure detection and therapeutic management or prognosis purposes. Amplitude-integrated electroencephalography (aEEG) offers an accessible by non expert, bedside continuous cerebral monitoring. A 2 year utilization of aEEG in a neonatal and paediatric intensive care unit is described as advantages and as pitfalls. Technical description and aEEG classifications for interpretation only available for term newborn are described. To obtain a performing utilization (technical and interpretation) it was necessary to have about 1 year of training including medical and paramedical formations. Our experience shows that this easy-to-use technique requires a careful management, a trained and vigilant staff notably electrophysiologist to avoid inappropriate conclusions. Finally, aEEG is very efficient but in complement of standard EEG.

摘要

儿童、足月儿和早产儿的护理需要进行电生理检查,以检测癫痫发作并用于治疗管理或预后评估。振幅整合脑电图(aEEG)提供了一种非专业人员可在床边进行的连续脑功能监测方法。本文描述了在新生儿和儿科重症监护病房中使用aEEG两年的优势和不足。文中仅介绍了足月儿aEEG的技术描述和用于解读的分类。为了实现有效的应用(技术和解读),需要大约一年的培训,包括医学和辅助医疗培训。我们的经验表明,这种易于使用的技术需要精心管理,需要训练有素且警惕的工作人员,尤其是电生理学家,以避免得出不当结论。最后,aEEG非常有效,但需作为标准脑电图的补充。

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