CAJ | 학술논문

目的：分析脑电图对早产儿脑白质损伤预后的诊断价值。方法选择100例脑白质损伤早产儿，在其出生24h内行床旁持续脑电图监测，监测时间不少于3 h，第1次监测结果异常者，第2、3个24 h每天监测1次，所有观察对象住院期间每周监测1次至出院，判断床旁持续脑功能监测对早产儿脑损害的早期诊断作用，及对预后的评估作用。结果21例PVEⅠ度中，脑电图异常轻度14例，中度7例；41例PVEⅡ度中，脑电图异常轻度10例，中度28例，重度3例；38例PVEⅢ度中，脑电图异常中度5例，重度33例，PVEⅠ度、PVE Ⅱ度、PVE Ⅲ在脑电图改变上的比较，差异具有统计学意义（P<0.05）。58例一过性病变中，脑电图异常轻度23例，中度35例；42例持续性病变中，轻度1例，中度5例，重度36例，脑白质损伤一过性与持续性病变在脑电图改变上比较，差异具有统计学意义（P<0.05）。结论脑电图对早产儿脑白质损伤的预后有重要的临床意义。
목적：분석뇌전도대조산인뇌백질손상예후적진단개치。방법선택100례뇌백질손상조산인，재기출생24h내행상방지속뇌전도감측，감측시간불소우3 h，제1차감측결과이상자，제2、3개24 h매천감측1차，소유관찰대상주원기간매주감측1차지출원，판단상방지속뇌공능감측대조산인뇌손해적조기진단작용，급대예후적평고작용。결과21례PVEⅠ도중，뇌전도이상경도14례，중도7례；41례PVEⅡ도중，뇌전도이상경도10례，중도28례，중도3례；38례PVEⅢ도중，뇌전도이상중도5례，중도33례，PVEⅠ도、PVE Ⅱ도、PVE Ⅲ재뇌전도개변상적비교，차이구유통계학의의（P<0.05）。58례일과성병변중，뇌전도이상경도23례，중도35례；42례지속성병변중，경도1례，중도5례，중도36례，뇌백질손상일과성여지속성병변재뇌전도개변상비교，차이구유통계학의의（P<0.05）。결론뇌전도대조산인뇌백질손상적예후유중요적림상의의。
Objective To analyze the diagnostical value of EEG on prognosis of premature infants with WML.Methods 100 premature infants with WML were chosen and given bedside EEG more than 3 hours during the ifrst 24 hours after births. If the ifrst time monitor result was abnormal, the infant would be given 1 time of EEG monitor each day on the second and third 24 hours and all infants were given 1 time of monitor each week until discharge from hospital. Early stage diagnostical role and judgement of prognosis of continuous bedside EEG for premature infants were evaluated.Results Among 21 cases of PVE I degree of abnormal EEG, there were 14 mild cases, 7 medium cases; among 41 cases of PVE II degree of abnormal EEG, there were 10 mild cases, 28 medium cases and 3 severe cases; among 38 cases of PVE III degree of abnormal EEG, there were 5 medium cases and 33 severe cases (P<0.05). Among 58 cases of transient abnormal change of EEG, there were 23 mild cases and 35 medium cases; among 42 cases of continuous abnormal change of EEG, there were 1 mild case, 5 medium cases and 36 severe cases (P<0.05).Conclusion EEG plays an important role in evaluation of diagnosis of premature infants with WML.