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新生儿脑电图操作及报告书写最低技术标准专家共识。

Expert consensus on minimum technical standards for neonatal electroencephalography operation and report writing.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2022 Feb 15;24(2):124-131. doi: 10.7499/j.issn.1008-8830.2112130.

DOI:10.7499/j.issn.1008-8830.2112130
PMID:35209976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8884057/
Abstract

Electroencephalography (EEG) monitoring is an important examination method in the management of critically ill neonates, which can be used to evaluate brain function and developmental status, severity of encephalopathy, and seizures and predict the long-term neurodevelopmental outcome of high-risk neonates with brain injury. EEG monitoring for neonates is different from that for adults and children, and its operation and interpretation are easily affected by the number of recording electrodes, electrode montage, and monitoring quality. Therefore, standard operation must be followed to ensure the quality of signal acquisition and correct interpretation, thereby ensuring proper management of critically ill neonates. The Subspecialty Group of Neonatology, Society of Pediatrics, Chinese Medical Association established an expert group composed of professionals in neonatology and brain electrophysiology to perform a literature review, summarize the minimum technical standards for neonatal EEG monitoring, and develop the expert consensus on minimum technical standards for neonatal EEG operation and report writing. This consensus will provide guidance for neonatal EEG operation, including technical parameters of EEG monitoring device, operation procedures of EEG monitoring, and specifications for report writing.

摘要

脑电图(EEG)监测是危重新生儿管理中的重要检查方法,可用于评估脑功能和发育状态、脑病严重程度、癫痫发作,并预测脑损伤高危新生儿的长期神经发育结局。新生儿的 EEG 监测与成人和儿童不同,其操作和解释容易受到记录电极数量、电极安置和监测质量的影响。因此,必须遵循标准操作,以确保信号采集的质量和正确的解释,从而确保对危重新生儿进行适当的管理。中华医学会儿科学分会新生儿学组组织新生儿学和脑电生理学专业人员组成专家组,进行文献复习,总结新生儿 EEG 监测的最低技术标准,并制定新生儿 EEG 操作和报告书写最低技术标准专家共识。本共识将为新生儿 EEG 操作提供指导,包括 EEG 监测设备的技术参数、EEG 监测操作流程以及报告书写规范。

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本文引用的文献

1
Electroencephalography monitoring in the neonatal intensive care unit: a Chinese perspective.新生儿重症监护病房中的脑电图监测:中国视角
Transl Pediatr. 2021 Mar;10(3):552-559. doi: 10.21037/tp-20-340.
2
Consensus protocol for EEG and amplitude-integrated EEG assessment and monitoring in neonates.新生儿脑电图和振幅整合脑电图评估和监测的共识协议。
Clin Neurophysiol. 2021 Apr;132(4):886-903. doi: 10.1016/j.clinph.2021.01.012. Epub 2021 Feb 3.
3
Normal EEG during the neonatal period: maturational aspects from premature to full-term newborns.新生儿期正常脑电图:从早产儿到足月儿的成熟方面。
Neurophysiol Clin. 2021 Jan;51(1):61-88. doi: 10.1016/j.neucli.2020.10.004. Epub 2020 Nov 22.
4
Technical recommendations and interpretation guidelines for electroencephalography for premature and full-term newborns.早产儿和足月儿脑电图技术推荐和解读指南。
Neurophysiol Clin. 2021 Jan;51(1):35-60. doi: 10.1016/j.neucli.2020.10.005. Epub 2020 Nov 7.
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Nursing Care During Neonatal Electroencephalographs.新生儿脑电图检查期间的护理。
J Neurosci Nurs. 2020 Oct;52(5):214-218. doi: 10.1097/JNN.0000000000000527.
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Expanding Access to Continuous EEG Monitoring in Neonatal Intensive Care Units.扩大新生儿重症监护病房连续脑电图监测的应用。
J Clin Neurophysiol. 2021 Nov 1;38(6):525-529. doi: 10.1097/WNP.0000000000000730.
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Pediatric Montages in Clinical Practice.儿科临床操作。
J Clin Neurophysiol. 2019 Sep;36(5):345-348. doi: 10.1097/WNP.0000000000000551.
8
Montages for Noninvasive EEG Recording.非侵入性脑电图记录的蒙太奇。
J Clin Neurophysiol. 2019 Sep;36(5):330-336. doi: 10.1097/WNP.0000000000000546.
9
Individualised developmental care for babies and parents in the NICU: Evidence-based best practice guideline recommendations.新生儿重症监护病房中婴儿和父母的个体化发育护理:循证最佳实践指南建议。
Early Hum Dev. 2019 Dec;139:104840. doi: 10.1016/j.earlhumdev.2019.104840. Epub 2019 Aug 21.
10
Swedish consensus reached on recording, interpretation and reporting of neonatal continuous simplified electroencephalography that is supported by amplitude-integrated trend analysis.瑞典达成共识,支持使用振幅整合趋势分析记录、解释和报告新生儿连续简化脑电图。
Acta Paediatr. 2018 Oct;107(10):1702-1709. doi: 10.1111/apa.14460. Epub 2018 Jul 12.