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应用耳声发射和脑干听觉诱发电位对足月窒息新生儿耳聋的评估:一项前瞻性观察研究

Assessment of Deafness in Term Infants with Birth Asphyxia with Otoacoustic Emission and Brain Stem Evoked Response Audiometry: A Prospective Observational Study.

作者信息

Chavan Reshma P, Shivsharan Sujit M, Nalte Akshay B

机构信息

Department of ENT, GMC Miraj, Miraj, Maharashtra India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):3876-3885. doi: 10.1007/s12070-024-04736-2. Epub 2024 May 22.

Abstract

UNLABELLED

To assess deafness in term infant with birth asphyxia by otoacoustic emission and brain stem evoked response audiometry. A Prospective observational study was done at Tertiary care government hospital from 15/02/2021 to 15/10/2022.Total 130 patients were included in the study by consecutive sampling method. All the patients fulfilling the inclusion criteria during the study period were included. After explaining the aims, objectives and methods of study, written informed consent was obtained from the parents to undergo Otoacoustic Emission (OAE) and Brain Stem Evoked Response Audiometry Test (BERA). Data was entered in case record form. Collected data was analysed by appropriate statistical methods. Hearing impairment was present in eight (6.15%) asphyxiated term infants. A mild degree of hearing loss was seen in three (37.5%), a moderate degree of hearing loss was seen in four (50%), severe degree of hearing loss was seen in one (12.5%) asphyxiated term infant. In asphyxiated term infants, no significant difference in hearing loss was seen with respect to gender, Obstetrics history, and type of delivery. Significant difference in hearing loss was seen in antenatal Diabetes mellitus, hypertension, family history of SNHL and APGAR Score less than 6. Severe degree of hearing loss was seen in prolonged labour and HTN mother. Significant difference in hearing loss was seen in antenatal Diabetes mellitus, hypertension, family history of SNHL and APGAR Score less than 4 and 6 in one and five minutes respectively. Severe degree of hearing loss was seen in prolonged labour and HTN mother.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s12070-024-04736-2.

摘要

未标注

通过耳声发射和脑干听觉诱发电位来评估足月窒息新生儿的听力损失情况。于2021年2月15日至2022年10月15日在三级护理政府医院进行了一项前瞻性观察研究。通过连续抽样法共纳入130例患者。纳入研究期间所有符合纳入标准的患者。在向家长解释研究目的、目标和方法后,获得了其书面知情同意书,以进行耳声发射(OAE)和脑干听觉诱发电位测试(BERA)。数据录入病例记录表。采用适当的统计方法对收集到的数据进行分析。8例(6.15%)窒息足月新生儿存在听力障碍。3例(37.5%)出现轻度听力损失,4例(50%)出现中度听力损失,1例(12.5%)窒息足月新生儿出现重度听力损失。在窒息足月新生儿中,听力损失在性别、产科病史和分娩方式方面无显著差异。在产前糖尿病、高血压、感音神经性听力损失家族史和阿氏评分低于6分方面,听力损失存在显著差异。在产程延长和母亲患有高血压的情况下出现重度听力损失。在产前糖尿病、高血压、感音神经性听力损失家族史以及分别在1分钟和5分钟时阿氏评分低于4分和6分方面,听力损失存在显著差异。在产程延长和母亲患有高血压的情况下出现重度听力损失。

补充信息

在线版本包含可在10.1007/s12070-024-04736-2获取的补充材料。

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本文引用的文献

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A Clinical Study on Gestational Diabetes Mellitus and the Hearing of Newborns.妊娠期糖尿病与新生儿听力的临床研究
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Indian J Otolaryngol Head Neck Surg. 2017 Jun;69(2):194-198. doi: 10.1007/s12070-017-1062-0. Epub 2017 Jan 17.

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