首页|振幅整合脑电图参数联合血气指标分析评估缺氧缺血性脑病的预测价值

振幅整合脑电图参数联合血气指标分析评估缺氧缺血性脑病的预测价值

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目的 评估振幅整合脑电图参数联合血气指标分析对缺氧缺血性脑病的预测价值.方法 回顾性选取2018年4月—2022年12月桂林医学院附属医院收治的35例缺氧缺血性脑病患儿的临床资料为观察组,同时选择57例正常儿童资料为对照组,采用ROC曲线评估振幅整合脑电图联合血气分析对缺氧缺血性脑病的预测价值.结果 观察组波谱带上边界、波谱带下边界、氧分压低于对照组,二氧化碳分压高于对照组,差异有统计学意义(P均<0.05);两组患儿pH值、碳酸氢盐水平比较,差异无统计学意义(P均>0.05).联合检测在ROC曲线中的AUC最大为0.969,其诊断效能最高.结论 振幅整合脑电图参数联合血气分析指标能有效预测缺氧缺血性脑病患儿病情,有利于临床及时开展相应治疗.
Predictive Value of Amplitude-integrated Electroencephalogram Param-eters Combined with Blood Gas Indicator Analysis in Assessing Hypoxic-ischemic Encephalopathy
Objective To assess the predictive value of amplitude-integrated electroencephalogram parameters com-bined with blood gas index analysis for hypoxic-ischemic encephalopathy.Methods The clinical data of 35 children with hypoxic-ischemic encephalopathy admitted to the Affiliated Hospital of Guilin Medical College from April 2018 to December 2022 were retrospectively selected as the observation group,while the data of 57 normal children were selected as the control group.ROC curves were used to assess the predictive value of amplitude-integrated electroen-cephalogram combined with blood gas analysis for hypoxic-ischemic encephalopathy.Results The upper boundary of the wave band,the lower boundary of the wave band,the partial pressure of oxygen of the observation group were lower than those of the control group,and the partial pressure of carbon dioxide of the observation group was higher than that in the control group,and the differences were statistically significant(all P<0.05),and the pH and bicarbon-ate levels of the two groups of children were compared,and the differences were not statistically significant(both P>0.05).The maximum AUC of the combined test in the ROC curve was 0.969,and its diagnostic efficiency is the high-est.Conclusion Amplitude-integrated electroencephalogram parameters combined with blood gas analysis indexes can effectively predict the condition of children with hypoxic-ischemic encephalopathy,which is conducive to the timely implementation of appropriate clinical treatment.

Amplitude-integrated electroencephalogramBlood gas analysisHypoxic-ischemic encephalopathy

赵庭鉴、王丽、刘曼

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桂林医学院附属医院,广西桂林 541001

振幅整合脑电图 血气分析 缺氧缺血性脑病

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(15)