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新生儿听觉器官的临床与电生理研究。III. 应用脑干诱发电位听力测定法(ABR)评估高危妊娠新生儿的听觉器官

[Clinical and electrophysiological studies of the organ of hearing of newborn infants. III. Evaluation of the organ of hearing of newborn infants from high risk pregnancy using brain stem evoked response audiometry (ABR)].

作者信息

Reron E

机构信息

Z Kliniki Otolaryngologicznej AM w Krakowie.

出版信息

Przegl Lek. 1990;47(4):394-401.

PMID:2217855
Abstract

In a group of 130 tested newborns, pathological brain stem responses derived from acoustic stimulus was achieved in 28 cases (21.5%). 85.2% of newborns in this group of birthed babies comprised a high-risk pregnancy group. Based on criteria evaluating monitoring and parameters achieved ABR responses: conduction hearing disorders were found in 7 newborns, sensori-neural in 12 cases, and neurological dysfunction was observed in 9 cases. Control testing was carried through for three months following the initial evaluation allowing for the elimination of 12 children in a group of 19 for further testing and observation. This represents 42.85% of children initially evaluated as possessing a hearing disorder and 9.2% from the total of those tested. Results obtained during successive control testing were carried-out in a 3-6 month period following the initial examination and allowed for decisions to be made. Conforming to: 4 children (3.07%) were supplied with hearing aids and hearing rehabilitation begun, 1 child (0.76%) was referred to rehabilitation the deaf, whereas the 2 remaining children (1.53%) are currently under neurological observation. Nonetheless, testing older children eliminates cases that present with lack of success at the initial evaluation or transitory hearing impairment that is self-limited, although ABR testing, while the child is on the unit, allows for the introduction of hearing-organ controls of newborns based on population testing.

摘要

在一组130名接受测试的新生儿中,28例(21.5%)通过听觉刺激获得了病理性脑干反应。该组出生婴儿中85.2%为高危妊娠组。根据评估监测和ABR反应参数的标准:发现7例新生儿存在传导性听力障碍,12例为感音神经性听力障碍,9例观察到神经功能障碍。在初次评估后的三个月内进行了对照测试,19名儿童中有12名被排除,以便进一步测试和观察。这占最初评估为有听力障碍儿童的42.85%,占总测试儿童的9.2%。在初次检查后的3至6个月内进行了连续对照测试,并据此做出了决定。结果如下:4名儿童(3.07%)配备了助听器并开始听力康复,1名儿童(0.76%)被转诊至聋儿康复机构,其余2名儿童(1.53%)目前正在接受神经学观察。尽管如此,对大龄儿童进行测试可排除初次评估未成功或自限性短暂听力障碍的情况,而在患儿住院期间进行ABR测试,可基于群体测试对新生儿的听觉器官进行检查。

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