Kurz C S, Miltner F O
Z Geburtshilfe Perinatol. 1980 Dec;184(6):401-12.
While correlations of cerebral development and EEG of the newborn are well known, there are only a few investigations concerning the fetal EEG (FEEG). This depends mainly on the higher rate of artefacts under the conditions of delivery when bioelectrical phenomenas of low voltage are registered. Under these aspects special recording techniques such as special electrodes, filters and computerized analysis are necessary (G. Haase & Sohn, Feinwerktechnik, 2000 Wedel/Holstein (Impedanz: 3-5 kOhm). The FEEG was recorded continuously under the demands of a delivery room at 18 normal deliveries and regular developed children with inconspicious cardiotocogram (CTG) and normal acid-base-status (ABS). In some cases we continued the FEEG-documentation after birth into the first hours of the perinatal period. A precise documentation of the biological as well as mechanical artefacts was realized. The cerebral electrical phenomenas consisted of two major categories: a) cerebral autorhythmic events (EEG of the newborn) and b) environmental factors. These alterations account to labour and fetal heart rate (FHR). In contrast to recent publications of other workers in this field, emphasis was laid on longterm analysis of cerebroelectric variations. The present data describe the dynamics of the FEEG-alterations under the demand of a normal delivery. The spectral analysis of FEEG-pattern under fetal distress needs further investigation.
虽然新生儿大脑发育与脑电图的相关性已为人熟知,但关于胎儿脑电图(FEEG)的研究却很少。这主要是因为在分娩过程中记录低电压生物电现象时,伪迹发生率较高。在这些方面,特殊的记录技术,如特殊电极、滤波器和计算机分析是必要的(G. 哈泽 & 索恩,精密技术,2000年,韦德尔/荷尔斯泰因(阻抗:3 - 5千欧))。在产房的要求下,对18例正常分娩且发育正常、胎心监护(CTG)无异常且酸碱状态(ABS)正常的儿童连续记录胎儿脑电图。在某些情况下,我们在出生后将胎儿脑电图记录延续到围产期的最初几个小时。实现了对生物及机械伪迹的精确记录。脑电现象主要分为两大类:a)脑自主节律事件(新生儿脑电图)和b)环境因素。这些变化与分娩和胎儿心率(FHR)有关。与该领域其他研究者最近的出版物不同,重点在于对脑电变化的长期分析。目前的数据描述了正常分娩需求下胎儿脑电图变化的动态过程。胎儿窘迫时胎儿脑电图模式的频谱分析需要进一步研究。