早产是一个公共卫生问题,早产是婴儿死亡的主要原因。客观的大脑成熟和氧合测量是必要的。目的是测试EEG和NIRS组合在评估早产儿和非早产儿生理性脑成熟和氧合方面的可行性。Pubmed中的系统综述,WebofScience,MEDLINE,科克伦,Dialnet,CINAHL,Scopus,开发了截至2022年12月的丁香和PEDro数据库。找到598个寄存器,最终5人达到纳入标准.两名独立审查员分析了数据,第三名审查员可用于差异。所有文章都结合了EEG和NIRS来评估健康新生儿的脑氧合和成熟。在P3和P4的脑电图电极放置有协议;此外,这些区域已被证明是一个发展预测区域,以及额顶区域为NIRS区域和区域之间的比较。关于没有刺激的生理脑电活动和氧合的证据很少。结论:EEG和NIRS可用于评估早产儿和非早产儿的脑电活动和氧合。这些仪器的组合测量在神经疾病诊断或其后遗症中可能是必不可少的。不幸的是,所发现的结果的异质性阻碍了就哪些变量最适合评估该人群达成共识.什么是已知的大脑评估可以帮助临床医生防止后遗症。•对于P3和P4区域处的EEG电极放置存在协议。什么是新的•EEG和NIRS评估是早产儿的有效测量。•P3和P4区域已被证明是发展的预测区域,以及用于NIRS评估的额顶区域。
Preterm birth represents a public health problem, with prematurity being the leading cause of infant mortality. An objective brain maturation and oxygenation measurement are necessary. The objective has been To test the feasibility of EEG and
NIRS combination in the assessment of physiological brain maturation and oxygenation in preterm and non-preterm babies. A systematic review in Pubmed, Web of Science, MEDLINE, Cochrane, Dialnet, CINAHL, Scopus, Lilacs and PEDro databases until December 2022 was developed. 598 registers were found, finally 5 of them reached the inclusion criteria. Two independent reviewers analyzed data and a third reviewer were available for discrepancies. All articles combined EEG and
NIRS to assess brain oxygenation and maturation in healthy new-born babies. There is an agreement on the electrode\'s placement for EEG at P3 and P4; besides, these regions have been shown to be a development predictive area, as well as the frontoparietal region for the
NIRS region and comparison between regions. There is little evidence about the physiological brain electrical activity and oxygenation without stimuli.Conclusion: EEG and
NIRS have been useful to assess brain electrical activity and oxygenation in preterm and non-preterm. The combined measurement of these instruments could be essential in neurological disorders diagnosis or their sequels. Unfortunately, the heterogeneity of the results found prevents a consensus on which variables are the most appropriate for the assessment of this population. What is Known • Brain assessment could help clinicians to prevent sequels. • There is an agreement for EEG electrodes placement at P3 and P4 region. What is New • EEG and
NIRS assessment are effective measurements for preterm babies. • P3 and P4 regions have shown to be a predictive area of development, as well as the frontoparietal region for NIRS assessment.