新生儿脑电图操作和报告书写最低技术标准专家共识

Expert consensus on minimum technical standards for neonatal electroencephalogra‐phy operation and report writing

摘要:

脑电图监测是危重新生儿管理中重要的检查手段，可用于评估脑功能和脑发育状态、脑病严重程度、癫痫发作及预测脑损伤高危儿远期神经发育结局。新生儿脑电图监测不同于成人和儿童，其操作和解读容易受记录电极数量、导联编排和监测质量的影响。因此必须遵守严格的操作规范才能保证脑电信号采集的质量和正确解读，进而确保对危重新生儿做出正确处理。中华医学会儿科学分会新生儿学组联合脑电生理学专家进行文献复习，对新生儿脑电图监测技术和操作的文献进行总结，形成新生儿脑电图监测技术和报告书写的最低标准专家共识。该共识将为新生儿的脑电图操作提供指导，包括脑电图监测设备的技术参数、脑电图监测的操作和报告书写规范。

Abstract:

Electroencephalography(EEG)monitoring is an important examination method in the management of critically ill neonates,which can be used to evaluate brain function and developmental status,severity of encephalopathy,and seizures and predict the long-term neurodevelopmental outcome of high-risk neonates with brain injury.EEG monitoring for neonates is different from that for adults and children,and its operation and interpretation are easily affected by the number of recording electrodes,electrode montage,and monitoring quality.Therefore,standard operation must be followed to ensure the quality of signal acquisition and correct interpretation,thereby ensuring proper management of critically ill neonates.The Subspecialty Group of Neonatology,Society of Pediatrics,Chinese Medical Association established an expert group composed of professionals in neonatology and brain electrophysiology to perform a literature review,summarize the minimum technical standards for neonatal EEG monitoring,and develop the expert consensus on minimum technical standards for neonatal EEG operation and report writing.This consensus will provide guidance for neonatal EEG operation,including technical parameters of EEG monitoring device,operation procedures of EEG monitoring,and specifications for report writing.