新生儿高钠血症脱水会影响听力状况吗？
Could neonatal hypernatremia dehydration influence hearing status?
作者信息
Boskabadi Hassan, Anvarifar Farnaz, Nourizadeh Navid
机构信息
Department of Pediatrics , Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Otorhinolaryngology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
Iran J Otorhinolaryngol. 2014 Jan;26(74):13-8.
INTRODUCTION
Neonatal hypernatremia dehydration (NHD) is a dangerous condition in neonates, which is accompanied by acute complications (renal failure, cerebral edema, and cerebral hemorrhage) and chronic complications (developmental delay). Children begin learning language from birth, and hearing impairment interferes with this process. We assessed the hearing status of infants with hypernatremia dehydration.
MATERIALS AND METHODS
In a case-control study in 110 infants presenting at the Ghaem Hospital (Mashhad, Iran) between 2007 and 2011, we examined the incidence of hearing impairment in infants suffering from hypernatremia dehydration (serum sodium >150 mEq/L) in comparison with infants with normal sodium level (serum sodium ≤150 mEq/L).
RESULTS
Three of 110 cases examined in the study group showed a transient hearing impairment. A mean serum sodium level of 173mg/dl was reported among hearing-impaired infants.
CONCLUSION
Transient hearing impairment was higher in infants with hypernatremia; although this difference was not significant (P>0.05). Hearing impairment was observed in cases of severe hypernatremia.
引言
新生儿高钠血症脱水（NHD）是新生儿的一种危险状况，伴有急性并发症（肾衰竭、脑水肿和脑出血）和慢性并发症（发育迟缓）。儿童从出生就开始学习语言，听力障碍会干扰这一过程。我们评估了高钠血症脱水婴儿的听力状况。
材料与方法
在2007年至2011年期间于加姆医院（伊朗马什哈德）就诊的110例婴儿的病例对照研究中，我们检查了高钠血症脱水婴儿（血清钠>150 mEq/L）与正常钠水平婴儿（血清钠≤150 mEq/L）相比听力障碍的发生率。
结果
研究组检查的110例病例中有3例出现短暂性听力障碍。听力受损婴儿的平均血清钠水平报告为173mg/dl。
结论
高钠血症婴儿的短暂性听力障碍发生率较高；尽管这种差异不显著（P>0.05）。在严重高钠血症病例中观察到听力障碍。
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