新生儿脑电生理监测分级管理专家共识

Expert consensus on grading management of electroencephalogram monitoring in neonates

摘要:

美国临床神经生理学协会已经发表了新生儿脑电图监测指南，中国也发表了新生儿振幅整合脑电图（amplitude-integrated electroencephalogram，aEEG）专家共识。由于缺乏脑电监测设备和专业解读人员，不同级别的新生儿病房很难严格按照指南或共识进行脑电监测。中华医学会儿科学分会新生儿学组成立了由新生儿、儿童神经和神经电生理专业人员组成的专家组对已经发表的指南和专家共识及相关领域的文献进行审查，建立了适用于不同级别新生儿病房脑电监测的分层管理建议。基于视频脑电图和aEEG特点，根据当地医疗资源和患儿疾病特征，专家组认为视频脑电图和aEEG可以互相补充应用，适用于不同级别的新生儿病房。该共识对促进新生儿、儿童神经和神经电生理专业人员之间的合作和远程脑电监测实施提出了建议。

Abstract:

Neonatal electroencephalogram(EEG)monitoring guidelines have been published by American Clinical Neurophysiology Society,and the expert consensus on neonatal amplitude-integrated EEG(aEEG)has also been published in China.It is difficult to strictly follow the guidelines or consensus for EEG monitoring in different levels of neonatal units due to a lack of EEG monitoring equipment and professional interpreters.The Subspecialty Group of Neonatology,Society of Pediatrics,Chinese Medical Association,established an expert group composed of professionals in neonatology,pediatric neurology,and brain electrophysiology to review published guidelines and consensuses and the articles in related fields and propose grading management recommendations for EEG monitoring in different levels of neonatal units.Based on the characteristics of video EEG and aEEG,local medical resources,and disease features,the expert group recommends that video EEG and aEEG can complement each other and can be used in different levels of neonatal units.The consensus also gives recommendations for promoting collaboration between professionals in neonatology,pediatric neurology,and brain electrophysiology and implementing remote EEG monitoring.