Sundagumaran Hemawathiy, Seethapathy Jayashree
Speech Language Pathologist & Audiologist, India.
Department of Speech, Language and Hearing Sciences, Sri Ramachandra Institute of Higher Education and Research (Deemed to Be University), Chennai, 600 116, India.
Int J Pediatr Otorhinolaryngol. 2019 Feb;117:78-81. doi: 10.1016/j.ijporl.2018.11.017. Epub 2018 Nov 14.
Auditory brainstem response (ABR) in infants with Iron Deficiency Anemia (IDA) helps in understanding the auditory aspects of central nervous system.
To analyse and compare absolute and interpeak latencies of ABR in infants with and without IDA.
ABR traces were obtained from 40 anemic ears and 40 non anemic ears, aged 6-24 months. ABR was recorded with 11.1/s clicks at different intensity levels.
Absolute latencies of all the peaks were prolonged in infants with IDA at 70, 50 and 30 dBnHL except for peak I. Amplitude of peaks I, III and V was not statistically different between the two groups at 70 and 50 dBnHL. Reduced peak amplitude was noted only at 30 dBnHL in infants with IDA which was statistically significant (P < 0.05). Interpeak interval showed no significant difference between anemic and non-anemic infants at 70 dBnHL. Prolonged interpeak latency of peak III-V and I-V was noted at 50 and 30dBnHL.
Functional development of auditory system seems to be affected due to iron deficiency. IDA has a long lasting effects on central auditory system when IDA is left untreated This will in turn lead to an alteration in the neuro-functional maturation.
缺铁性贫血(IDA)婴儿的听觉脑干反应(ABR)有助于了解中枢神经系统的听觉方面。
分析和比较患IDA和未患IDA婴儿的ABR绝对潜伏期和峰间期。
从40只贫血耳和40只非贫血耳获取ABR波形,这些婴儿年龄在6至24个月。在不同强度水平下以11.1次/秒的点击声记录ABR。
除波I外,患IDA的婴儿在70、50和30 dBnHL时所有波峰的绝对潜伏期均延长。在70和50 dBnHL时,两组之间波I、III和V的波幅无统计学差异。仅在30 dBnHL时,患IDA的婴儿波幅降低,具有统计学意义(P < 0.05)。在70 dBnHL时,贫血和非贫血婴儿之间的峰间期无显著差异。在50和30 dBnHL时,观察到波III-V和I-V的峰间期延长。
缺铁似乎会影响听觉系统的功能发育。如果IDA不进行治疗,对中枢听觉系统会有长期影响,这反过来会导致神经功能成熟的改变。