小儿患者在手术室进行听觉脑干反应测试的临床经验。
Clinical experience of auditory brainstem response testing on pediatric patients in the operating room.
作者信息
Zhou Guangwei, Dornan Briana, Hinchion Wheaton
机构信息
Department of Otolaryngology and Communication Enhancement, Children's Hospital Boston, 300 Longwood Avenue LO-367 Boston, MA 02115, USA.
出版信息
Int J Otolaryngol. 2012;2012:350437. doi: 10.1155/2012/350437. Epub 2011 Nov 17.
Objectives. To review our experience of conducting auditory brainstem response (ABR) test on children in the operating room and discuss the benefits versus limitations of this practice. Methods. Retrospective review study conducted in a pediatric tertiary care facility. A total of 267 patients identified with usable data, including ABR results, medical and surgical notes, and follow-up evaluation. Results. Hearing status successfully determined in all patients based on the ABR results form the operating room. The degrees and the types of hearing loss also documented in most of the cases. In addition, multiple factors that may affect the outcomes of ABR in the operating room identified. Conclusions. Hearing loss in children with complicated medical issues can be accurately evaluated via ABR testing in the operating room. Efforts should be made to eliminate adverse factors to ABR recording, and caution should be taken when interpreting ABR results from the operating room.
目的。回顾我们在手术室对儿童进行听觉脑干反应（ABR）测试的经验，并讨论这种做法的益处与局限性。方法。在一家儿科三级护理机构进行回顾性研究。共确定了267例有可用数据的患者，包括ABR结果、医疗和手术记录以及随访评估。结果。根据手术室的ABR结果成功确定了所有患者的听力状况。大多数病例中也记录了听力损失的程度和类型。此外，还确定了可能影响手术室ABR结果的多个因素。结论。患有复杂医疗问题的儿童的听力损失可以通过在手术室进行ABR测试准确评估。应努力消除ABR记录中的不利因素，并且在解释手术室的ABR结果时应谨慎。
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