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高危儿的听力特点及相关因素分析 被引量:4

The audiological characteristics and its relative factors in high risk infants
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摘要 目的探讨高危儿听力损伤发生的特点及影响因素,为早期治疗干预提供依据。方法对154例(308耳)高危儿新生儿进行听觉脑干诱发电位(ABR)检测,分析其特点及其与高胆红素血症、缺氧缺血性脑病、低出生体重儿等因素的关系。结果ABR异常率为43.8%,其中,低出生体儿组ABR异常、V波异常率及Ⅰ波异常率显著高于高胆红血症和缺氧缺血性脑病组(P<0.05),低出生体重儿组、核黄疸组V波异常率高于单纯高胆红素血症组及缺氧缺血性脑病组(P<0.05)。结论高危儿特别是低出生体重儿、核黄疸患儿容易发生听力损伤,应对高危新生儿及时进行听力筛选和干预治疗。 Objective To study the clinical characteristics of hearing loss and the relative factors for early intervention. Methods 154 high risk infants (308 ears) were tested by auditory brainstem response (ABR).To analyse the clinical characteristics and the relationship between hearing loss and the factors such as hypercholesterolernia, hypoxic ischemic encephalopathy (HIE) and low birthweright.Results The rate of abnormal incidence of ABR was 43.8% .The rate of abnormal incidence of ABR in low birthweight group was significantly higher than that in hypercholesterolemia group and HIE group,respectively (P〈0.05) .So did the rate of abnormal incidence of wave I and wave V. The abnormal incidence of wave V in kemicterus group was higher than that in low birthweight group, single hypercholesterolernia group and HIE group, respectively (P 〈 0.05). Conclusion It is necessary to carry out hearing screening and intervention on high risk infants, especially on the low birthweight.
作者 韩进天
出处 《广西医学》 CAS 2006年第6期828-829,共2页 Guangxi Medical Journal
关键词 脑干听觉诱发电位 高胆红素血症 缺氧缺血性脑病 低体重儿 核黄疸 新生儿 Auditory brainstem response Hypercholesterolemia Hypoxic ischemic encephalopathy Low birthweight Neonat
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  • 1Mehl AL,Thom son V.The Coloraclo newbow hearing screening project1992~1999,on the threshold of effective population-based universal newbom hearing screening[J].Pediatrics,2002,109 (1):7.
  • 2Moon SP,Jung H.Diagnostic Potential of distortion product otoacoustic emissions in sever or profound sesonrineural hearing loss[J].Acta Otolaryngol(Stopckh),1998,118(4):496~ 500.

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