Relationship of Amplitude-Integrated Electroencephalogram Combined with NBNA Scale and GMs Quality Assessment in Premature Infants with Brain Injury
YAO Aimei
DENG Caiyan
WANG Guangzhou
Abstract：Objective To investigate the relationship of amplitude-integrated electroencephalogram(aEEG)combined with neonatal behavioral neurological assessment(NBNA)and general movements(GMs)quality assessment in premature infants with brain injury.Methods A total of 104 premature infants delivered Zhengzhou Maternal and Child Health Care Hospital from April 2021 to March 2023 were selected as the study objects,and were divided into brain injury group(48 cases)and non-brain injury group(56 cases)according to expert consensus.aEEG was detected within 12 hours after birth in both groups.When the gestational age was corrected to 40 weeks,NBNA was tested at 3 and 14 days after birth.GMs quality in the torsion and restless movement stages was assessed at 1 and 3 months of corrected gestational age.Results The aEEG scores and NBNA scores at 3 and 14 days after birth in the brain injury group were lower than those in the non-brain injury group,and the abnormal proportion of GMs quality assessment in the torsion and restless movement stages was higher than that in the non-brain injury group(P＜0.05).Logistic regression analysis was showed that,the occurrence of brain injury in preterm infants was associated with aEEG score(OR=0.324,95％CI:0.109-0.965),NBNA score at 14 days after birth(OR=0.019,95％CI:0.002-0.213)and abnormal GMs in the torsion movement(OR=4.563,95％CI:1.159-17.958)(P＜0.05).Conclusion aEEG monitoring,NBNA scale and GMs quality assessment were of certain significance of premature infants with brain injury,and the three indicators of aEEG score,NBNA score at 14 days after birth and GMs quality assessment in the torsion stage were closely related to premature infants with brain injury.
Keywords：premature infantsbrain injuryamplitude-integrated electrocardiogramneonatal behavioral neurological assessmentgeneral movements quality assessment
Publication Date：2025-03-13
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：4( 838-841 )