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儿童精神障碍的听力学和电生理学评估。

Audiologic and electrophysiologic evaluation in children with psychiatric disorders.

机构信息

Faculdade de Medicina, Universidade de São Paulo.

出版信息

Braz J Otorhinolaryngol. 2009 Jan-Feb;75(1):130-8. doi: 10.1016/s1808-8694(15)30844-2.

Abstract

UNLABELLED

Individuals with psychiatric disorders can present perception, attention and memory deficits, raising doubts about peripheral and/or central hearing loss. Thus, the aim of this study is to describe the audiological and electrophysiological results of individuals with psychiatric disorders, looking for peripheral and/or central auditory disorders.

METHODS

20 individuals with autism and Asperger syndrome and 20 individuals without psychiatric disorders from eight to 19 years of age, were submitted to audiological and electrophysiological evaluation.

RESULTS

No alterations were observed on the audiological evaluation in all the individuals. In ABR, 50% of individuals with autism and 30% with Asperger syndrome presented alterations. Significant statistical differences were observed between the groups in the quantitative analysis. All groups presented alterations in AMLR and P300. In AMLR, no significant statistical differences were observed between the groups in the qualitative and quantitative analyses. In the P300, we noticed significant statistical differences between Asperger and control groups in the quantitative analysis.

CONCLUSIONS

A high occurrence of alterations in auditory evoked potentials was seen in children with psychiatric disorders, although in some analysis it was observed a non-statistically significant difference when comparing study and control groups. We stress the need for a more careful investigation of the auditory function in this population.

摘要

未加标注

患有精神障碍的个体可能存在感知、注意和记忆缺陷,这使人对其外周和/或中枢听力损失产生怀疑。因此,本研究旨在描述精神障碍个体的听力学和电生理学结果,寻找外周和/或中枢听觉障碍。

方法

对 20 名患有自闭症和阿斯伯格综合征的个体和 20 名无精神障碍的个体(年龄 8 至 19 岁)进行了听力学和电生理学评估。

结果

所有人的听力评估均未见异常。在 ABR 中,50%的自闭症个体和 30%的阿斯伯格综合征个体存在异常。各组间在定量分析中观察到显著的统计学差异。所有组的 AMLR 和 P300 均存在异常。在 AMLR 中,定性和定量分析中各组间无显著统计学差异。在 P300 中,我们注意到阿斯伯格组与对照组在定量分析中存在显著统计学差异。

结论

患有精神障碍的儿童的听觉诱发电位异常发生率较高,尽管在某些分析中,研究组和对照组之间的差异无统计学意义。我们强调需要更仔细地研究该人群的听觉功能。

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本文引用的文献

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Auditory brainstem response in two children with autism.
Int J Pediatr Otorhinolaryngol. 2002 Oct 21;66(1):81-5. doi: 10.1016/s0165-5876(02)00211-2.
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Autism and hearing loss.自闭症与听力损失。
J Autism Dev Disord. 1999 Oct;29(5):349-57. doi: 10.1023/a:1023022709710.
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Auditory brainstem response abnormalities in autistic children.
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