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小儿先心病中EEG和BAEP的临床评价

An evaluating of electroencephalography and brainstem auditory evoked potentials in children with congenital heart disease
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摘要 目的 :评价先心病儿脑电图 (EEG)、脑干听觉诱发电位 (BAEP)的变化。方法 :对 3 0例先心病儿童EEG、BAEP的变化进行对比观察 ,并以 3 0名健康儿童为对照组。结果 :1.EEG :发绀组 (CCHD)异常率为 80 %( 8/ 10 ) ,非发绀组 (NCCHD)异常率为 3 0 %( 6/ 2 0 ) ,差异显著 (P <0 .0 5 )。2 .BAEP :CCHD组异常率为 10 0 %( 10 / 10 ) ,NCCHD异常率为 65 %( 13 / 2 0 ) ,差异显著 (P<0 .0 5 ) ,Ⅴ波潜伏期 (PL)、Ⅲ -Ⅴ、Ⅰ -Ⅴ波峰间潜伏期 (IPL)先心病患儿与对照组比较 ,CCHD组显著延长 (P <0 .0 5 )。 3 .EEG与BAEP :EEG异常者BAEP均异常 ( 10 0 %) ,EEG正常者BAEP有 5 6.3 %异常。结论 :1、先心病患儿伴有脑功能异常 ,CCHD较NCCHD显著。 2、EEG与BAEP均可反映脑功能异常改变 ,但非完全同步 ,BAEP似乎较为敏感。 Objective:To evaluete electroencephalography( EEG) and brainstem auditory evoked potential(BAEP) in children with congenital heart disease(CHD).METHODS: EEG and BAEP were examined in thirty children with CHD and thirty children with health as controls.RESULT: The EEG abnormality rate in CCHD group was 80% and in NCCHD group was 30%;There was significant difference between the two groups(p<0.05). The BAEP abnormality rate in CCHD group was 100% and in NCCHD group was 65%,there was also significant difference between the two groups(p<0.05). As CHD patients compared with normal children, V-peak latencies(PL), Ⅲ-Ⅴ and Ⅰ-Ⅴ interpeak latencies (IPL)were significantly prolonged in CCHD(p<0.05). All BAEPs were abnormal in patients with abnormal EEGs, and 56.3% of BAEPs were abnormal in patients with normal EEGs.CONCLUSIONS: 1. CHD might complicated with damage to the cerebral function . Brain function affected by CCHD was more serious than that by NCCHD. 2.The abnormal change of EEG and BAEP was not always showed synchronously. BAEP revealed more sensitive than EEG.
出处 《激光杂志》 CAS CSCD 北大核心 2001年第4期54-56,共3页 Laser Journal
基金 国家 973重点基础研究项目 (G19990 5 4 2 0 5 )
关键词 儿童 先天性心脏病 EEG BAEP 临床评价 Children,Congenital heart disease,EEG,BAEP
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