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新生儿高胆红素血症患儿脑电图和脑干听觉诱发电位变化的评价 被引量:1

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摘要 目的评价新生儿高胆红素血症(简称高胆)脑电图(EEG)、脑干听觉诱发电位(BAEP)的变化。方法对126高胆患儿进行EEG、BAEP检测,并与对照组(30名健康新生儿)进行比较。结果EEG异常率47.62%,主要表现为:变化性缺乏、弥漫性低电压、爆发性抑制、短暂性波幅或频率不对称;BAEP异常率71.43%,2组比较,Ⅰ波、Ⅲ波、Ⅴ波PL显著延长,差异有统计学意义(P〈0.05);EEG异常者BAEP均异常,EEG正常者BAEP有23.81%异常。结论⑴高胆患儿伴有脑功能异常,EEG与BAEP均可反映脑功能异常改变但非同步,BAEP临床应用价值较EEG为显著;⑵短期内EEG、BAEP无好转,提示脑功能恢复可能需要较长时间,BAEP合并EEG异常,后遗症发生率越高;⑶血清间接胆红素与EEG、BAEP异常程度及预后有直接关系。新生儿EEG、BA-EP可作为高胆早期判断病情和预后的一种有效、方便的检查手段。
出处 《中国医师杂志》 CAS 2007年第5期686-687,共2页 Journal of Chinese Physician
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