Changes of amplitude integration electroencephalogram (aEEG) in different maturity preterm infant
Changes of amplitude integration electroencephalogram (aEEG) in different maturity preterm infant
复制标题
不同成熟度早产儿振幅积分脑电图(aEEG)的变化
DOI：
10.1007/s00381-013-2060-5
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发表时间：
2013-07-01
影响因子：
1.4
通讯作者：
Yang, Lijun
中科院分区：
文献类型：
--
作者：
Cui, Hong;Ding, Yingxue;Yang, Lijun
【摘要】：背景近年来随着围产期护理和新生儿重症监护技术的提高,早产儿尤其是小胎龄、极低出生体重的早产儿存活率越来越高。与此同时，早产儿脑损伤导致的不良神经发育预后也明显增加。早产儿脑损伤已成为早产儿早期死亡和神经发育的最重要因素。方法振幅积分脑电图(aEEG)在评估早产儿大脑发育成熟度方面具有重要的临床价值。应用新生儿脑功能监测仪，评价aEEG图形的连续性、周期性、窄带下缘幅度和带宽评分，并对宽窄带电压和带宽下限进行分析。结果早产儿aEEG图形随着胎龄的增长而成熟（1）。随着校正胎龄的增长，早产儿aEEG图形具有以下特点：窄带下限电压上升，窄带宽度变窄（2）。宫外生命可以加速aEEG图形的成熟(3)。结论aEEG技术是一种无创、可操作、分析简单的技术，适合在新生儿重症监护室应用。
BackgroundWith the improvement of perinatal care and neonatal intensive care technology in recent years, a preterm infant, especially with small gestational age and very low birth weight, survives more and more. At the same time, adverse neurodevelopmental prognosis caused by brain damage in preterm infant also increased significantly. Preterm infant brain injury has become the most important factor for early death and neurodevelopment of preterm infant.MethodsAmplitude integration electroencephalogram (aEEG) has an important clinical value in the assessment of brain development in the maturity of preterm infant. With the application of a neonatal brain function monitor, we value the aEEG graphic continuity, periodicity, narrowband lower margin amplitude, and bandwidth score and analyze wide- and narrowband on the lower bounds of voltage and bandwidth.ResultsThe graphics of preterm infant aEEG become mature with the growth of the gestational age (1). With the growth of corrected gestational age, the aEEG graphics of preterm infant has the following feature: lower bound voltage of narrowband rising and width narrowing of narrowband (2). Extrauterine life can speed up the maturation of aEEG graphics (3).ConclusionsThe aEEG technology is a noninvasive, operable, and simple analysis and suitable for application in the newborn intensive care unit.