[早产儿脑室周围-脑室内出血患儿振幅整合脑电图的背景模式与睡眠-觉醒周期]
[Background patterns and sleep-wake cycles on amplitude-integrated electroencephalography in preterm infants with periventricular-intraventricular hemorrhage].
作者信息
Yang Lei, Xu Wei, Yan Chao-Ying
机构信息
Department of Neonatology, First Bethune Hospital of Jilin University, Changchun 130021, China.
出版信息
Zhongguo Dang Dai Er Ke Za Zhi. 2016 Oct;18(10):965-970. doi: 10.7499/j.issn.1008-8830.2016.10.009.
OBJECTIVE
To study the background patterns and sleep-wake cycles (SWC) on amplitude-integrated electroencephalography (aEEG) in preterm infants with different grades of periventricular-intraventricular hemorrhage (PIVH).
METHODS
Fifty-six preterm infants with a gestational age between 25 and 33 weeks who were diagnosed with PIVH and 31 gestational age-matched normal preterm without ICH were enrolled. According to Papile staging criteria, the infants with PIVH were subdivided into mild group (grades I and II) and moderate-severe group (grades III and IV). The results of the aEEG were compared between groups.
RESULTS
The moderate-severe PIVH group showed a decreased continuity of the voltage, an increased loss rate of SWC, and a lower aEEG score than the mild PIVH and control groups (P<0.017). There were no significant differences in these parameters between the mild PIVH and control groups.
CONCLUSIONS
The changes of background patterns and SWCs may be associated with the severity of PIVH in preterm infants.
目的
研究不同级别脑室周围 - 脑室内出血（PIVH）的早产儿振幅整合脑电图（aEEG）的背景模式和睡眠 - 觉醒周期（SWC）。
方法
纳入56例孕周在25至33周之间、诊断为PIVH的早产儿以及31例孕周匹配的无颅内出血（ICH）的正常早产儿。根据Papile分期标准，将PIVH患儿分为轻度组（I级和II级）和中重度组（III级和IV级）。比较各组aEEG结果。
结果
中重度PIVH组的电压连续性降低，SWC丢失率增加，且aEEG评分低于轻度PIVH组和对照组（P<0.017）。轻度PIVH组和对照组在这些参数上无显著差异。
结论
背景模式和SWC的变化可能与早产儿PIVH的严重程度有关。
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