检测先心病患儿EEG和BAEP的意义

赵聪敏; 王春燕; 廖伟; 张雨平; 温恩懿

doi:10.16016/j.1000-5404.2001.11.043

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检测先心病患儿EEG和BAEP的意义

更新时间：2026-01-09

- 检测先心病患儿EEG和BAEP的意义
- Journal of Army Medical University Vol. 23, Issue 11, (2001)
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- DOI：10.16016/j.1000-5404.2001.11.043
  CLC： R726.5
- Online First：30 November 2001，
  
  Published：2001
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赵聪敏,王春燕,廖伟,张雨平,温恩懿,检测先心病患儿EEG和BAEP的意义[J].陆军军医大学学报(原第三军医大学学报),2001,23(11):0-.

赵聪敏, 王春燕, 廖伟, et al. 检测先心病患儿EEG和BAEP的意义[J]. Journal of Army Medical University, 2001, 23(11).
赵聪敏,王春燕,廖伟,张雨平,温恩懿,检测先心病患儿EEG和BAEP的意义[J].陆军军医大学学报(原第三军医大学学报),2001,23(11):0-. DOI：10.16016/j.1000-5404.2001.11.043

赵聪敏, 王春燕, 廖伟, et al. 检测先心病患儿EEG和BAEP的意义[J]. Journal of Army Medical University, 2001, 23(11). DOI： 10.16016/j.1000-5404.2001.11.043.

摘要

目的　评价先心病儿心脏手术前后脑电图 (EEG)、脑干听觉诱发电位 (BAEP)的变化。方法　对 30例先心病儿童术前EEG、BAEP的变化和 2 0例接受不停跳体外循环心内直视手术患儿手术前后EEG、BAEP的动态变化进行对比观察

并设 30名健康儿童为对照。结果　 ( 1)术前 :①EEG :发绀组 (CCHD)异常率为 80 % ( 8/ 10 )

非发绀组 (NCCHD)异常率为 30 % ( 6 / 2 0 )

有显著性差异(P 0 .0 5 )。②BAEP :CCHD组异常率为 10 0 % ( 10 / 10 )

NCCHD异常率为 6 5 % ( 13/ 2 0 )

有显著性差异 (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 )。③EEG与BAEP :EEG异常者BAEP均异常 ( 10 0 % )

EEG正常者BAEP有 5 6 .3 %异常。 ( 2 )手术前后比较

EEG和BAEP异常率有显著性差异 (P 0 .0 5 )。结论　①先心病患儿伴有脑功能异常

CCHD较NCCHD为重。②EEG与BAEP均可反映脑功能异常改变但非同步。③术后短期内EEG、BAEP无好转

提示脑功能恢复可能需要较长时间。

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