Department of Neonatology, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, 250033, China.
Huantai County Maternal and Child Health Care Hospital of Zibo City, Zibo, Shandong, 256400, China.
J Healthc Eng. 2021 Mar 15;2021:6684818. doi: 10.1155/2021/6684818. eCollection 2021.
Analyzing and discussing the relationship between brain injury in preterm infants and related risk factors can provide evidence for perinatal prevention and early intervention of brain injury in preterm infants, thereby improving the quality of life of preterm infants. This paper selects term preterm infants diagnosed with preterm infant asphyxia in the NICU of a university's First Affiliated Hospital from January 2018 to February 2019 as the research object. In addition, healthy term infants born at the same time in the obstetric department of this hospital are selected as the control group. Both groups of premature infants were monitored for brain function within 6 hours after birth. The aEEG results range from background activity (continuous normal voltage, discontinuous normal voltage, burst suppression, continuous low voltage, and plateau) and sleep-wake cycle (no sleep-wake cycle, immature, and mature sleep-wake cycle) to epileptic activity (single seizures, recurrent seizures, and status epilepticus), three aspects to judge. Statistical analysis uses SPSS 17.0 software. Amplitude-integrated EEG is a simplified form of continuous EEG recording. The trace of the trace represents the voltage change signal of the entire EEG background activity, which can reflect the EEG amplitude, frequency, burst-inhibition, and other pieces of information. aEEG can reflect the degree of HIE lesions in premature infants and the long-term prognosis. It is easy to operate and effective in diagnosis and can be continuously monitored. It is worthy of clinical popularization. There is a good correlation between the expression of EEG and biomarkers. Combining multiple methods can diagnose HIE earlier and evaluate the prognosis.
分析和讨论早产儿脑损伤与相关危险因素的关系,可为围产期早产儿脑损伤的预防和早期干预提供依据,从而提高早产儿的生活质量。本研究选取 2018 年 1 月至 2019 年 2 月在某大学附属医院 NICU 诊断为早产儿窒息的足月早产儿为研究对象,同时选取同期该院产科出生的健康足月婴儿为对照组。两组早产儿均于出生后 6 小时内进行脑功能监测,aEEG 结果从背景活动(连续正常电压、间断正常电压、爆发抑制、连续低电压、平坦)和睡眠-觉醒周期(无睡眠-觉醒周期、不成熟、成熟睡眠-觉醒周期)到癫痫活动(单发发作、复发发作、癫痫持续状态)三个方面进行判断。统计学分析采用 SPSS 17.0 软件。振幅整合脑电图是连续脑电图记录的简化形式。迹线代表整个 EEG 背景活动的电压变化信号,可反映 EEG 幅度、频率、爆发抑制等信息。aEEG 能反映早产儿 HIE 病变程度及远期预后,操作简便,诊断有效,可连续监测,值得临床推广。脑电图与生物标志物的表达有良好的相关性,联合多种方法可以更早地诊断 HIE,并评估预后。