[Amplitude-integrated electroencephalography monitoring results of hospitalized neonates in plateau areas].

Xiao-Fen Zhao, Guo-Qiang Cheng, Peng-Na Zhao, Mei Zhao, Shuang-Yan Zhu, Yang-Fang Li, Wen-Hao Zhou
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Abstract

Objectives: To investigate the amplitude-integrated electroencephalography (aEEG) monitoring results of hospitalized neonates in plateau areas.

Methods: A retrospective analysis was conducted on 5 945 neonates who were admitted to the Department of Neonatology, Kunming Children's Hospital, and received aEEG monitoring from January 2020 to December 2022. According to the aEEG monitoring results, they were divided into a normal aEEG group and an abnormal aEEG group. The incidence rate of aEEG abnormalities was analyzed in neonates with various systemic diseases, as well as the manifestations of aEEG abnormalities and the consistency between aEEG abnormalities and clinical abnormalities.

Results: Among the 5 945 neonates, the aEEG abnormality rate was 19.28% (1 146/5 945), with an abnormality rate of 29.58% (906/3 063) in critically ill neonates and 8.33% (240/2 882) in non-critically ill neonates (P<0.05). The children with inherited metabolic diseases showed the highest aEEG abnormality rate of 60.77% (79/130), followed by those with central nervous system disorders [42.22% (76/180)] and preterm infants [35.53% (108/304)]. Compared with the normal aEEG group, the abnormal aEEG group had significantly lower age and gestational age, as well as a significantly lower birth weight of preterm infants (P<0.05). Among the 1 146 neonates with aEEG abnormalities, the main types of aEEG abnormalities were sleep cycle disorders in 597 neonates (52.09%), background activity abnormalities in 294 neonates (25.65%), and epileptiform activity in 255 neonates (22.25%), and there were 902 neonates (78.71%) with abnormal clinical manifestations. The sensitivity and specificity of aEEG monitoring for brain function abnormalities were 33.51% and 92.50%, respectively.

Conclusions: In plateau areas, there is a relatively high rate of aEEG abnormalities among hospitalized neonates, particularly in critically ill neonates and those with smaller gestational ages and younger ages, suggesting a high risk of brain injury. Therefore, routine aEEG monitoring for the hospitalized neonates can help with the early detection of brain function abnormalities, the decision-making in treatment, and the formulation of brain protection strategies.

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[高原地区住院新生儿的振幅积分脑电图监测结果]。
目的:研究高原地区住院新生儿的振幅积分脑电图(aEEG)监测结果:研究高原地区住院新生儿脑电图(aEEG)监测结果:方法:对2020年1月至2022年12月在昆明市儿童医院新生儿科住院并接受脑电图监测的5 945名新生儿进行回顾性分析。根据电子脑电图监测结果,他们被分为电子脑电图正常组和电子脑电图异常组。分析了患有各种系统疾病的新生儿脑电图异常的发生率,以及脑电图异常的表现和脑电图异常与临床异常的一致性:在5 945名新生儿中,aEEG异常率为19.28%(1 146/5 945),其中危重新生儿异常率为29.58%(906/3 063),非危重新生儿异常率为8.33%(240/2 882)(PPConclusions:在高原地区,住院新生儿的 aEEG 异常率相对较高,尤其是重症新生儿和胎龄较小、年龄较小的新生儿,这表明脑损伤的风险很高。因此,对住院新生儿进行常规的脑电图监测有助于早期发现脑功能异常、制定治疗决策和脑保护策略。
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来源期刊
中国当代儿科杂志
中国当代儿科杂志 Medicine-Pediatrics, Perinatology and Child Health
CiteScore
1.50
自引率
0.00%
发文量
5006
期刊介绍: The Chinese Journal of Contemporary Pediatrics (CJCP) is a peer-reviewed open access periodical in the field of pediatrics that is sponsored by the Central South University/Xiangya Hospital of Central South University and under the auspices of the Ministry of Education of China. It is cited as a source in the scientific and technological papers of Chinese journals, the Chinese Science Citation Database (CSCD), and is one of the core Chinese periodicals in the Peking University Library. CJCP has been indexed by MEDLINE/PubMed/PMC of the American National Library, American Chemical Abstracts (CA), Holland Medical Abstracts (EM), Western Pacific Region Index Medicus (WPRIM), Scopus and EBSCO. It is a monthly periodical published on the 15th of every month, and is distributed both at home and overseas. The Chinese series publication number is CN 43-1301/R;ISSN 1008-8830. The tenet of CJCP is to “reflect the latest advances and be open to the world”. The periodical reports the most recent advances in the contemporary pediatric field. The majority of the readership is pediatric doctors and researchers.
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