Tripoli University Hospital, Tripoli, Libya.
East Mediterr Health J. 2020 Feb 24;26(2):176-181. doi: 10.26719/2020.26.2.176.
In low and middle-income countries where the health care is in a weakened state, spending money on unaffordable and probably unnecessary investigations might be substituted by a reliable, simple and more informative tool that can deal with the problem.
To examine current medical practice of measuring auditory brainstem response for all children with autistic spectrum disorder, and assess the value of this test in these children and its applicability in low and middle-income countries such as Libya.
We reviewed the medical records of all children with autistic spectrum disorder who presented to neurodevelopment clinics of Al-Khadra Teaching Hospital, Tripoli, Libya between January 2010 and December 2014.
In 71 of 2368 children with autistic spectrum disorder, the family were concerned about their children's hearing and reaction to loud noises. Auditory brainstem response confirmed that 26 of these 71 children had sensorineural hearing loss.
We consider auditory brainstem response measurement to be unnecessary in children with autistic spectrum disorder without clinical signs suggesting hearing impairment and without any parental concerns about hearing.
在医疗体系较为薄弱的中低收入国家，将资金用于负担不起且可能不必要的检查，不如用一种可靠、简单且更具信息量的工具来解决问题。
检查目前对所有自闭症谱系障碍儿童进行听觉脑干反应测量的医疗实践，并评估该测试在这些儿童中的价值及其在利比亚等中低收入国家的适用性。
我们回顾了 2010 年 1 月至 2014 年 12 月期间在利比亚的黎波里 Al-Khadra 教学医院神经发育诊所就诊的所有自闭症谱系障碍儿童的病历。
在 2368 名自闭症谱系障碍儿童中，有 71 名儿童的家人对其听力和对大声噪音的反应表示担忧。听觉脑干反应证实，这 71 名儿童中有 26 名患有感觉神经性听力损失。
我们认为，对于没有听力损伤临床症状且没有任何听力问题的自闭症谱系障碍儿童，进行听觉脑干反应测量是不必要的。
