Analysis of amplitude-integrated electroencephalogram monitoring in hospitalized neonates
10.3760/cma.j.cn114798-20210611-00456
- VernacularTitle:新生儿住院患者振幅整合脑电图监测结果分析
- Author:
Shengjuan QIN
1
;
Li ZHANG
;
Jing LIU
;
Yueqiao GAO
;
Ruxin QIU
;
Yanni LIU
;
Jiuye GUO
;
Zulin LU
Author Information
1. 北京市朝阳区妇幼保健院新生儿科 100021
- Keywords:
Electroencephalography;
Neonatal;
Amplitude-integrated electroencephalogram
- From:
Chinese Journal of General Practitioners
2021;20(8):858-862
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analized brain function monitoring results with amplitude- integrated electroencephalogram (aEEG) in neonatal ward.Methods:The clinical data of 1 370 newborns received aEEG monitoring in Neonatal Department of our hospital from September 2017 to August 2019 were retrospectively analyzed.Results:Among 1 370 neonates undergoing aEEG examination,abnormalities were demonstrated in 308 cases with an overall abnormal rate of 22.5%. The abnormal rate in critical neonates was 27.7% (240/868),while that in non-critical neonates was 13.6% (68/502) (χ2=36.304, P<0.01). Neonates with convulsion had the highest aEEG abnormal rate (57.1%, 16/28), followed by small for gestational age (SGA) (48.8%, 20/41), asphyxia (41.5%, 49/118), premature (31.1%, 92/296)and erythrocytosis (29.7%, 11/37). Among 308 cases of abnormal aEEG, the main types of abnormalities were abnormal background activity in 229 cases (74.4%),insignificant sleep-wake cycles in 139 cases (45.1%) and abnormal original EEG in 117 cases (40.0%). Among 308 cases of abnormal aEEG, 38.0%(117 cases) had corresponding clinical manifestations and 62.0%(191 cases) had no clinical manifestations. The sensitivity of aEEG monitoring is 73.6%(117/159), and the specificity is 84.2%(1 020/1 211). Conclusions:The abnormal rate of aEEG is high in hospitalized neonates,especially in critically ill neonates. It is necessary to carry out routine aEEG examination for hospitalized neonates in order to early detect brain function damage.
