【摘要】：目的探討床旁持續(xù)腦電監(jiān)測(CEEG)對危重孕產(chǎn)婦患者腦功能變化的預(yù)警及對預(yù)后的評估價值。方法采用前瞻性研究方法,對43例危重孕產(chǎn)婦行CEEG,連續(xù)監(jiān)測時間6 h。采用GCS及急性生理與慢性健康評分-Ⅱ(APACHE-Ⅱ)評價患者的病情嚴重程度。結(jié)果患者GCS評分隨CEEG級數(shù)升高而降低,APACHE-Ⅱ評分逐級升高。與Ⅰ級患者比較,Ⅲ、Ⅳ、Ⅴ級患者GCS評分顯著降低,APACHE-Ⅱ顯著增高(P0.05~0.01)。與Ⅱ級患者比較,Ⅲ、Ⅳ、Ⅴ級患者GCS評分顯著降低,Ⅴ級患者APACHE-Ⅱ顯著增高(P0.05~0.01)。與Ⅲ級患者比較,Ⅴ級患者GCS評分顯著降低(P0.05)。CEEG分級與GCS評分呈負相關(guān)(r=-0.944,P0.001)。CEEG分級與APACHE-Ⅱ呈正相關(guān)(r=0.824,P0.001)。與EEG良好組比較,EEG不良組GCS評分顯著降低(P0.05)。結(jié)論 CEEG可準確評估危重孕產(chǎn)婦的病情嚴重程度、判斷預(yù)后。
[Abstract]:Objective to evaluate the predictive value of bedside continuous EEG monitoring (CEEG) on brain function and prognosis in critically ill pregnant women. Methods 43 critically ill pregnant women were monitored with CEEG, for 6 h by prospective study. GCS and acute physiological and chronic health score-鈪，

本文編號：2353999