摘要
目的了解脑电图(EEG)及头颅B超(BUS)对早产儿早期脑损伤的诊断评估价值,并探讨EEG与BUS的诊断相关性。方法对256例早产儿应用EEG描记和BUS在生后48h及7d各分别检查一次。对1月后BUS确诊的75例早产儿的神经发育每1～4周复查1次EEG,至少到纠正胎龄40～42周。结果两种方法在诊断早产儿脑损伤方面48h差异有统计学意义(P<0.05);7d则无显著性差异(P>0.05)。在对1月BUS确诊的75例早产儿进行随访的过程中,有8例最后确诊为脑瘫。结论BUS及EEG在诊断早产儿脑损伤方面不仅可以早期诊断并早期干预,且二者有诊断相关性,二者同时进行对判断早产儿脑损伤的时间和程度有很好的评价,对脑功能损伤的诊断及预后的评价具有重要意义。
Objective To investigate the diagnostic value of electroencephalogram （EEG） and cranial ultrasounography （US） for brain injury of premature infants. Methods EEG and BUS were performed at 48h and day 7 after birth in 268 premature infants. 75 premature infants with brain injury diagnosed by BUS 1 month after birth were followed - up by EEG every 4 weeks till 40 - 42 weeks after birth. Results There were significant differences between EEG and BUS in the diagnosis of brain injury 48 h after birth （ P 〈 0.05 ） , but the differences were not existed at day 7 after birth （ P 〉 0.05 ）. Of the 75 premature infants with brain injury diagnosed by BUS 1 month after birth, cerebral palsy developed in 8 premature infants during follow - up. Conclusion Brain injury in premature infants can be diagnosed early by EEG and BUS, so that early intervention can be carried out.
出处
《临床和实验医学杂志》
2007年第7期38-39,共2页
Journal of Clinical and Experimental Medicine
关键词
早产儿
脑损伤
脑电图
B超
Premature infant
Brain injury
Electroencephalogram （EEG）
Cranial ultrasounography
