持续脑电监测在儿童重症监护室中的应用进展.pdf

临床儿科杂志第 33 卷第 11 期 2015 年 11 月J Clin Pediatr Nov. 2015· 994 ·持续脑电监测在儿童重症监护室中的应用进展朱玲综述胡兰审校重庆医科大学附属儿童医院PICU(重庆 400014)摘要: 危重患儿神经系统损伤程度及预后评估关乎社会、家庭、伦理等诸多问题,持续脑电监测作为神经功能监测方法中最常用的一种,可及早诊断并预防继发性脑损伤,动态评估疗效及预后。文章对近年来持续脑电监测技术在危重患儿中的应用进展进行综述。关键词: 儿童重症监护室; 持续脑电监测; 振幅整合脑电图; 癫痫Progress of continuous electroencephalogram monitoring in the pediatric intensive care unitReviewer: ZHU Ling, Revis-er: HU Lan (Pediatric Intensive Care Unit, Children′s Hospital, Chongqing Medical University , Chongqing 400014, China )Abstract:The degree of neurological damage and prognosis in critically ill children couple with social, family, ethical and other concerns. Continuous electroencephalogram monitoring (cEEG) as the monly used cerebral function monitoring helps early diagnosis and prevents the secondary brain injury, offers dynamic assessment of efficacy and prognosis. This article reviews the recent progress of application of cEEG monitoring in critically ill words:pediatric intensive care unit;continuous electroencephalogram;amplitude-integrated electroencephalo-gram;seizuresdoi:-(electroencephalogram,EEG)是临床最常用的脑功能监测手段,可对皮层及皮层下脑功能作出迅速判断,适合床旁开展,并可动态观察。持续常规脑电监测(continuous electroencephalogram,cEEG)通过长程动态的脑电分析在提高癫痫检出率、动态评估脑电背景活动、预测近期及远期预后等方面均有意义[1]。因cEEG具有安全无创、可动态监测等优点,欧洲重症医学会推荐将其推荐用于癫痫持续状态、非惊厥性癫痫发作、蛛网膜下腔出血、缺血性脑卒中、创伤性脑损伤、心跳骤停、昏迷等疾病的评估[2]。近年来