Objective:To study the evaluation value of the quantitative electroencephalogram (qEEG) for the prognosis of neonatal hypoxic ischemic encephalopathy (HIE) and its relationship with serological indicators.Methods: 76 ...Objective:To study the evaluation value of the quantitative electroencephalogram (qEEG) for the prognosis of neonatal hypoxic ischemic encephalopathy (HIE) and its relationship with serological indicators.Methods: 76 children with HIE who were born and treated in our hospital between April 2013 and February 2017 were collected as observation group, and 50 healthy newborns who were born in our hospital during the same period were collected as normal control group. qEEG parameter values of two groups of children were determined, serum levels of nerve injury indexes, nerve apoptosis indexes and oxidative stress indexes were compared between the two groups, and Pearson test was used to evaluate the inner link between qEEG parameter values and disease severity in children with HIE.Results: qEEG Fp1, Fp2, C3, C4, T3, T4, O1 and O2 loci power spectrum values of observation group were significantly lower than those of normal control group. Serum NSE, NPY, S-100B and MBP contents in observation group were higher than those in normal control group;nerve apoptosis indexes sFas, sFasL and Caspase-3 contents were higher than those in normal control group while Bcl-2 content was lower than that in normal control group;serum oxidative stress indexes AOPP and MDA contents were higher than those in normal control group while SOD content was lower than that in normal control group. Pearson test showed that qEEG Fp1, Fp2, C3, C4, T3, T4, O1 and O2 loci power spectrum values in children with HIE were directly correlated with the contents of nerve injury indexes, nerve apoptosis indexes and oxidative stress indexes. Conclusion: The qEEG parameter values in children with HIE are lower than those in normal children, and the specific values are closely related to the severity of the disease.展开更多
目的探讨联合应用经颅多普勒超声(transcranial doppler,TCD)及定量脑电图(quantitative electroencephalogram,qEEG)对单侧大脑中动脉(middle cerebral artery,MCA)重度狭窄或闭塞者脑功能改变的早期诊断价值。方法对2012年5月-2014年...目的探讨联合应用经颅多普勒超声(transcranial doppler,TCD)及定量脑电图(quantitative electroencephalogram,qEEG)对单侧大脑中动脉(middle cerebral artery,MCA)重度狭窄或闭塞者脑功能改变的早期诊断价值。方法对2012年5月-2014年9月在吉林大学第一医院神经内科经TCD诊断单侧MCA重度狭窄或闭塞者74例,包括症状组45例及无症状组29例,及年龄性别匹配的健康对照组25例,应用联合了EEG及TCD的神经监护仪、核磁共振灌注成像(perfusion weight imaging,PWI)、美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)评分,分别比较MCA重度狭窄或闭塞侧与健侧脑区的qEEG相对波段功率(relative band power,RBP)、软脑膜侧支的血流动力学参数、脑灌注及神经功能缺损程度。结果与无症状组比较,症状组qEEG的δ波、θ波RBP值高,而α波RBP值低(P<0.05)。症状组MCA分布区δ波RBP值狭窄侧较健侧高,α波、β波RBP值低(P<0.01)。TCD显示MCA重度狭窄或闭塞侧大脑前动脉、大脑后动脉血流动力学的参数无症状组高于症状组(P<0.05)。PWI显示CBF下降组δ波RBP值较CBF正常组高(P<0.05)。症状组全脑区δ波RBP值与NIHSS分值呈正相关(r=0.83,P=0.000)。结论 qEEG的RBP参数是评估MCA重度狭窄或闭塞者脑缺血神经功能缺损的预测指标。TCD联合qEEG的神经血流监护仪是评估MCA狭窄神经元功能、侧支循环及脑组织灌注的新工具。展开更多
Background:Quantitative electroencephalogram(QEEG)is a tool that uses a computer to analyze brain activity monitored by electroencephalogram(EEG)according to measurements such as frequency,amplitude,and slope.The purp...Background:Quantitative electroencephalogram(QEEG)is a tool that uses a computer to analyze brain activity monitored by electroencephalogram(EEG)according to measurements such as frequency,amplitude,and slope.The purpose of this study was to understand the current situation of QEEG utilization in China and further compare the situations among different regions and different levels of hospitals.Methods:An online questionnaire comprising 14 questions was designed.Statistical description and analysis were made for the results of the questionnaire survey.Results:A total of 158 people from 134 medical institutions participated in the survey.The participants came from 21 provinces,accounting for 61.76%(21/34)of the 34 provincial administrative regions in China.The Eastern China region accounted for 66.42%(89/134)of all the medical institutions that participated in this survey.Among the institutions surveyed,QEEG was routinely used in only 23.88%(32/134)of them.Among the medical institutions in which QEEG was routinely used,87.50%(28/32)of them were 3A-grade hospitals.Among the institutions with routine use of QEEG,56.25%(18/32)were affiliated hospitals of medical schools.There was a significant difference in the utilization of QEEG between the 3A-grade and non-3A-grade hospitals(P=0.040)and between the hospitals affiliated to medical schools and those non-affiliated to medical schools(P=0.020).Conclusions:The utilization of QEEG is still limited in China.There are differences in the use of QEEG among different hospitals and regions.展开更多
目的观察丁苯酞氯化钠注射液治疗急性期脑梗死患者的临床疗效,以及定量脑电图对急性期脑梗死患者临床疗效的监测意义。方法将80例急性脑梗死患者随机分为治疗组和对照组,治疗组在常规治疗的基础上给予丁苯酞氯化钠注射液治疗。比较两组...目的观察丁苯酞氯化钠注射液治疗急性期脑梗死患者的临床疗效,以及定量脑电图对急性期脑梗死患者临床疗效的监测意义。方法将80例急性脑梗死患者随机分为治疗组和对照组,治疗组在常规治疗的基础上给予丁苯酞氯化钠注射液治疗。比较两组治疗前后美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分、Barthel指数评分和定量脑电图(quantitative electroencephalogram,QEEG)慢波化比率(Deltaratio,Symmetry theta/alpha+beta rate,DTABR)等数据。结果治疗14 d后,治疗组NIHSS评分[(3.58±2.72)分vs(6.33±2.63)分]、Barthel指数评分[(68.20±26.83)分vs(66.12±24.45)分]、DTABR[(2.83±1.20)分vs(4.10±1.72)分]的变化优于对照组,差异有统计学意义。结论丁苯酞氯化钠注射液治疗急性脑梗死患者临床疗效显著且定量脑电图对急性脑梗死患者临床疗效的监测有价值。展开更多
文摘Objective:To study the evaluation value of the quantitative electroencephalogram (qEEG) for the prognosis of neonatal hypoxic ischemic encephalopathy (HIE) and its relationship with serological indicators.Methods: 76 children with HIE who were born and treated in our hospital between April 2013 and February 2017 were collected as observation group, and 50 healthy newborns who were born in our hospital during the same period were collected as normal control group. qEEG parameter values of two groups of children were determined, serum levels of nerve injury indexes, nerve apoptosis indexes and oxidative stress indexes were compared between the two groups, and Pearson test was used to evaluate the inner link between qEEG parameter values and disease severity in children with HIE.Results: qEEG Fp1, Fp2, C3, C4, T3, T4, O1 and O2 loci power spectrum values of observation group were significantly lower than those of normal control group. Serum NSE, NPY, S-100B and MBP contents in observation group were higher than those in normal control group;nerve apoptosis indexes sFas, sFasL and Caspase-3 contents were higher than those in normal control group while Bcl-2 content was lower than that in normal control group;serum oxidative stress indexes AOPP and MDA contents were higher than those in normal control group while SOD content was lower than that in normal control group. Pearson test showed that qEEG Fp1, Fp2, C3, C4, T3, T4, O1 and O2 loci power spectrum values in children with HIE were directly correlated with the contents of nerve injury indexes, nerve apoptosis indexes and oxidative stress indexes. Conclusion: The qEEG parameter values in children with HIE are lower than those in normal children, and the specific values are closely related to the severity of the disease.
文摘目的探讨联合应用经颅多普勒超声(transcranial doppler,TCD)及定量脑电图(quantitative electroencephalogram,qEEG)对单侧大脑中动脉(middle cerebral artery,MCA)重度狭窄或闭塞者脑功能改变的早期诊断价值。方法对2012年5月-2014年9月在吉林大学第一医院神经内科经TCD诊断单侧MCA重度狭窄或闭塞者74例,包括症状组45例及无症状组29例,及年龄性别匹配的健康对照组25例,应用联合了EEG及TCD的神经监护仪、核磁共振灌注成像(perfusion weight imaging,PWI)、美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)评分,分别比较MCA重度狭窄或闭塞侧与健侧脑区的qEEG相对波段功率(relative band power,RBP)、软脑膜侧支的血流动力学参数、脑灌注及神经功能缺损程度。结果与无症状组比较,症状组qEEG的δ波、θ波RBP值高,而α波RBP值低(P<0.05)。症状组MCA分布区δ波RBP值狭窄侧较健侧高,α波、β波RBP值低(P<0.01)。TCD显示MCA重度狭窄或闭塞侧大脑前动脉、大脑后动脉血流动力学的参数无症状组高于症状组(P<0.05)。PWI显示CBF下降组δ波RBP值较CBF正常组高(P<0.05)。症状组全脑区δ波RBP值与NIHSS分值呈正相关(r=0.83,P=0.000)。结论 qEEG的RBP参数是评估MCA重度狭窄或闭塞者脑缺血神经功能缺损的预测指标。TCD联合qEEG的神经血流监护仪是评估MCA狭窄神经元功能、侧支循环及脑组织灌注的新工具。
基金This work was supported by Suzhou Science and Technology Project(SLT201908)Jiangsu Provincial Excellent Young Doctors’Project(QNRC2016731).
文摘Background:Quantitative electroencephalogram(QEEG)is a tool that uses a computer to analyze brain activity monitored by electroencephalogram(EEG)according to measurements such as frequency,amplitude,and slope.The purpose of this study was to understand the current situation of QEEG utilization in China and further compare the situations among different regions and different levels of hospitals.Methods:An online questionnaire comprising 14 questions was designed.Statistical description and analysis were made for the results of the questionnaire survey.Results:A total of 158 people from 134 medical institutions participated in the survey.The participants came from 21 provinces,accounting for 61.76%(21/34)of the 34 provincial administrative regions in China.The Eastern China region accounted for 66.42%(89/134)of all the medical institutions that participated in this survey.Among the institutions surveyed,QEEG was routinely used in only 23.88%(32/134)of them.Among the medical institutions in which QEEG was routinely used,87.50%(28/32)of them were 3A-grade hospitals.Among the institutions with routine use of QEEG,56.25%(18/32)were affiliated hospitals of medical schools.There was a significant difference in the utilization of QEEG between the 3A-grade and non-3A-grade hospitals(P=0.040)and between the hospitals affiliated to medical schools and those non-affiliated to medical schools(P=0.020).Conclusions:The utilization of QEEG is still limited in China.There are differences in the use of QEEG among different hospitals and regions.
文摘目的观察丁苯酞氯化钠注射液治疗急性期脑梗死患者的临床疗效,以及定量脑电图对急性期脑梗死患者临床疗效的监测意义。方法将80例急性脑梗死患者随机分为治疗组和对照组,治疗组在常规治疗的基础上给予丁苯酞氯化钠注射液治疗。比较两组治疗前后美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分、Barthel指数评分和定量脑电图(quantitative electroencephalogram,QEEG)慢波化比率(Deltaratio,Symmetry theta/alpha+beta rate,DTABR)等数据。结果治疗14 d后,治疗组NIHSS评分[(3.58±2.72)分vs(6.33±2.63)分]、Barthel指数评分[(68.20±26.83)分vs(66.12±24.45)分]、DTABR[(2.83±1.20)分vs(4.10±1.72)分]的变化优于对照组,差异有统计学意义。结论丁苯酞氯化钠注射液治疗急性脑梗死患者临床疗效显著且定量脑电图对急性脑梗死患者临床疗效的监测有价值。
