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第四章 新生儿不同发育阶段正常脑电图特点
基于新生儿脑发育不成熟及新生儿期脑发育成熟速度非常快的特点,新生儿期EEG具有明显的特征和独立的评价标准。
本章通过图表形式,总结了新生儿期EEG的发育特征,包括新生儿睡眠-觉醒周期特征(图4-1)、新生儿-婴儿期睡眠结构表(表4-1)、睡眠-觉醒周期识别的发育特征(图4-2)、不同发育时期IBI的长度(表4-2)、不同PMA发育成熟度相关的标志性波(表4-3)及新生儿期不同发育时期脑电发育成熟特征(图4-3)。
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-1_112876.jpg?sign=1734427814-wnJh5ePcUhoFUOTGWJoPe5RR5ek6tLtM-0-fcee9a889188f8d327ad409a60585c01)
图4-1 新生儿睡眠-觉醒周期特征图
表4-1 新生儿-婴儿期睡眠结构表
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/T4-1_33881.jpg?sign=1734427814-gUV5Z1tCjlESW7kCueXJcjaII4gvkVVc-0-a29737b9f291b3e8e05f0d1d2f2a381b)
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-2_112877.jpg?sign=1734427814-xcZ1Xj09ea64v5zRgIcYy8AL9d8sSUci-0-4eac6b9c67ba9bab2e50795770ecbd60)
图4-2 睡眠-觉醒周期识别的发育特征图
表4-2 不同发育时期的IBI长度
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/T4-2_34761.jpg?sign=1734427814-irbt4xGbD5lzAOLStP3VNUtMnL9qTBsY-0-f898881d45b1f8df4e12b38f31007119)
表4-3 不同PMA发育成熟度相关的标志性波
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/T4-3_34777.jpg?sign=1734427814-2C9TNdoGx3F5CiBAW2ozziab9j8qCw9A-0-e6e234583b168f508b0e5348f74af4f2)
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-3_35183.jpg?sign=1734427814-UzV0tNR6jVGOx3qY9dL5wcZvNT0MDNzH-0-ec28d907c2f92ce645aaaa8de4818e30)
图4-3 新生儿期不同发育时期脑电发育成熟特征
QS:安静睡眠期;AS:活动睡眠期
为了帮助读者更好地理解上述发育特征,列举了正常新生儿脑电图的基本特征(图4-4~图4-7)、与发育成熟度相关的标志性波形(图4-8~图4-13)、不同时期正常发育图形(图4-14~图4-25),以及不同发育时期正常aEEG趋势图汇总(图4-26)。
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-4_35591.jpg?sign=1734427814-ZlpyMPhg0E8KuR2OSKRxzIoVSHEetVGo-0-c6e404ceb76cba65e6444dd72bd2cf1d)
图4-4 GA 36周 +1,DOL 6天,PMA 37周,AS期连续图形
走纸速度15mm/s
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-5_35999.jpg?sign=1734427814-vKPyr7UqL5tEXOna93Xa6QOkCPeAJXC5-0-1204c3fde2a6a6ece2c73d7e88762e10)
图4-5 GA 38周 +4,DOL 3天,PMA 39周,QS期交替图形(TA)
走纸速度15mm/s
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-6_36407.jpg?sign=1734427814-DVns7n9Jg7fCSqX0VzojAzCQiRSOj9H8-0-e0e85ccf59f413abd3ca195eaf5d9689)
图4-6 GA 27周 +5,DOL 2天,PMA 28周,QS期非连续图形(TD)
双枕区为心电伪迹,走纸速度15mm/s
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-7_36815.jpg?sign=1734427814-kUPNGojgakwmRC55LKKVSttwdnLv02uE-0-a49102c70bb8f0984d246b6178f963ab)
图4-7 GA 33周 +5,DOL 4天,PMA 34周 +2,同步性及对称性
走纸速度15mm/s
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-8_37330.jpg?sign=1734427814-RnwZhbfdOeDX39rFMv7vqN4Ea8vd2CWh-0-8d655fcb442b8bbdf06885939ec094a6)
图4-8 GA 37周,DOL 9天,PMA 38周 +2,紫色虚框与红色虚框示双侧半球非同步
走纸速度15mm/s
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-9_37753.jpg?sign=1734427814-pWABJ1d3Mv8TJ0e7doEUSRYdkue1RU9Y-0-c16ad3e7d2c4372fcfe8993262b9f2a1)
图4-9 GA 29周,DOL 7天,PMA 30周,颞区θ暴发(红色虚框)
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-10_38182.jpg?sign=1734427814-hi95XjHtXyRVS91zgDBIQA95TOXc7pTd-0-1472298cbd96cb074fe284d3ae4fd07f)
图4-10 GA 38周 +2,DOL 6天,PMA 39周 +1,前头部非节律性慢波(红色虚框)
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-11_38607.jpg?sign=1734427814-uPJ8UfRYhxA9N9VZAd4Ko3UhpI7r3tOk-0-7933e5104dd95b907ed8cd3a55c76975)
图4-11 GA 38周 +2,DOL 6天,PMA 39周 +1,额区一过性尖波(红色虚框)
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-12_112886.jpg?sign=1734427814-PnhO6dDx0IoSYNYlGWFlFuguQXuYCbUW-0-d26d289333c999a4e82dd34e74c3e964)
图4-12 GA 28周,DOL 5天,PMA 28周 +5,弥漫性δ活动、δ刷
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-13_39437.jpg?sign=1734427814-D3mC7cZspz9ShTFBcTRRXPgzxISNUjf1-0-b1d4eed551c91d78769204588007682d)
图4-13 GA 33周 +5,DOL 8天,PMA 34周 +6,中央、顶、枕区δ刷(红色虚框)
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-14_39858.jpg?sign=1734427814-EvQrsrQWO6ReYgpGkSYBnirSe8EOsqsq-0-8eb5cc4a8ddca60e12c9e566924ed222)
图4-14 GA 28周,DOL 5天,PMA 28周 +5,清醒期(红色箭头)
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-15_40271.jpg?sign=1734427814-jfrcdKjSjZkPTt97iKvhms9Sqli0c8st-0-987bc8c98578f8082b453fc2f7ec52c1)
图4-15 GA 28周,DOL 5天,PMA 28周 +5,AS期(红色箭头)
双枕区为心电伪迹
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-16_40680.jpg?sign=1734427814-ICiuxnzLbrMeJb1zkTuJiZmfA116boDc-0-ac50dfac34b90831b05a3728f699c9de)
图4-16 GA 28周,DOL 5天,PMA 28周 +5,QS期(红色箭头)
双枕区为心电伪迹,走纸速度15mm/s
续图
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-17_41091.jpg?sign=1734427814-4JgkyQyphzoUsP8JKmXDOgKvajIfPSKZ-0-617f5e3b1b57e3fc1a8bfc55fdfa8b4f)
图4-17 GA 33周 +5,DOL 4天,PMA 34周 +2,清醒期(红色箭头)
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-18_41502.jpg?sign=1734427814-9FHRJBKIZETxgmOEDBdjkF7DWWIAGEfI-0-024bf4b3d98c09b1dd063e006880ecfe)
图4-18 GA 33周 +5,DOL 4天,PMA 34周 +2,AS期(红色箭头)
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-19_41913.jpg?sign=1734427814-30bRV9o2PQKCCDfO5V7Y5JVqZWfTWuSS-0-02459443901974ab60491dbf6da7e3a2)
图4-19 GA 33周 +5,DOL 4天,PMA 34周 +2,QS期(红色箭头)
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-20_42324.jpg?sign=1734427814-FAarWxhGZED9vpfWPwSI6hiQ7iWZjWVa-0-9f5526e9f945ab68bf38dce81013f040)
图4-20 GA 36周 +1,DOL 6天,PMA 37周,清醒期(红色箭头)
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-21_42735.jpg?sign=1734427814-sz37xJRkBzlvd2XSdiW2xjTIfczz9lgg-0-de8be5fc40fcf6259adaf5f8d2f5d800)
图4-21 GA 36周 +1,DOL 6天,PMA 37周,AS期(红色箭头)
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-22_43146.jpg?sign=1734427814-VOx6q4FrMfXnj5aQ7MLTN7oarCD1b68J-0-58de5b0d9c73dffa6ab4b9b9b9331449)
图4-22 GA 36周 +1,DOL 6天,PMA37周,QS期(红色箭头)
走纸速度15mm/s
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-23_43557.jpg?sign=1734427814-rqTq8lfkZ5SzS9ym6f0jIxtBbaIfVTjg-0-a3854ce5125a8e6d6d1c9b72bb1259fc)
图4-23 GA 39周 +2,DOL 5天,PMA 40周,清醒期(红色箭头)
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-24_43968.jpg?sign=1734427814-DW59IruAvDypfwWqCBt5TBeRY7r2OMOR-0-3dc70fb003b516b55cda2bad50e2f520)
图4-24 GA 39周 +2,DOL 5天,PMA 40天,AS期(红色箭头)
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-25_44379.jpg?sign=1734427814-WT4MpIC9yb9n7ZbbD1LhrzbcJm9d4unF-0-00b19264fa6dd0d32beed65b15d6ba39)
图4-25 GA 39周 +2,DOL 5天,PMA 40周,QS期(红色箭头)
走纸速度15mm/s
![](https://epubservercos.yuewen.com/56E00F/21846784401662306/epubprivate/OEBPS/Images/P4-26_112891.jpg?sign=1734427814-xoYuPvJFNLw8flW6YCePrvzKrBKT9l0k-0-e7c73f39f3e0d85ef7e5c2be81f71f30)
图4-26 不同发育时期正常aEEG趋势图汇总
(田艺丽)