【摘要】：目的探討床旁持續(xù)腦電監(jiān)測(cè)(CEEG)對(duì)危重孕產(chǎn)婦患者腦功能變化的預(yù)警及對(duì)預(yù)后的評(píng)估價(jià)值。方法采用前瞻性研究方法,對(duì)43例危重孕產(chǎn)婦行CEEG,連續(xù)監(jiān)測(cè)時(shí)間6 h。采用GCS及急性生理與慢性健康評(píng)分-Ⅱ(APACHE-Ⅱ)評(píng)價(jià)患者的病情嚴(yán)重程度。結(jié)果患者GCS評(píng)分隨CEEG級(jí)數(shù)升高而降低,APACHE-Ⅱ評(píng)分逐級(jí)升高。與Ⅰ級(jí)患者比較,Ⅲ、Ⅳ、Ⅴ級(jí)患者GCS評(píng)分顯著降低,APACHE-Ⅱ顯著增高(P0.05~0.01)。與Ⅱ級(jí)患者比較,Ⅲ、Ⅳ、Ⅴ級(jí)患者GCS評(píng)分顯著降低,Ⅴ級(jí)患者APACHE-Ⅱ顯著增高(P0.05~0.01)。與Ⅲ級(jí)患者比較,Ⅴ級(jí)患者GCS評(píng)分顯著降低(P0.05)。CEEG分級(jí)與GCS評(píng)分呈負(fù)相關(guān)(r=-0.944,P0.001)。CEEG分級(jí)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(píng)分顯著降低(P0.05)。結(jié)論 CEEG可準(zhǔn)確評(píng)估危重孕產(chǎn)婦的病情嚴(yán)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(hào)：2353999