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早产双胎与单胎婴儿听觉脑干成熟度的比较:一项回顾性研究。

Comparison of Auditory Brainstem Maturation in Prematurely Born Twin and Singleton Infants: A Retrospective Study.

作者信息

Soltanparast Sanaz, Bagheri Fereshteh

机构信息

Department of Audiology, School of Rehabilitation Sciences, Babol University of Medical Sciences, Babol, Iran.

Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

出版信息

Indian J Otolaryngol Head Neck Surg. 2025 Jan;77(1):396-400. doi: 10.1007/s12070-024-05204-7. Epub 2024 Nov 15.

Abstract

Twins, especially second-born twins, have more unfavorable pregnancy results than singletons. Despite the fact that more than half of twins have been prematurely born, research on auditory brainstem maturation in premature twins is limited. Thus, the goal of this research was to compare the maturation of the maturation of the auditory brainstem in preterm twins and singletons, as well as investigate this maturation process with regard to birth order. The present study retrospectively assessed medical files of 40 preterm twins across 20 twin pregnancies and 20 singleton infants in the Shafiezade Children's Hospital of Babol University of Medical Sciences. We incorporated infants delivered amid March 2021 and September 2021 who had a gestational age (GA) of 36 or 37 weeks, a weight larger than 1,500 g, along with passed transient evoked otoacoustic emissions (TEOAEs). All incorporated sample were examined via diagnostic auditory brainstem response (ABR) at 50 and 30 dBnHL. There were insufficiently significant variations between preterm twins and the singletons with regard to mean III and V latencies as well as III-V intervals. Furthermore, comparing mean III and V latencies as well as III-V interval values of preterm second-born twins against preterm singletons showed no discernible effect of birth order. In current retrospective research, First- and second-born twins showed the same central auditory system maturation at the brainstem level as preterm singletons.

摘要

双胞胎,尤其是第二个出生的双胞胎,其妊娠结果比单胎更不理想。尽管超过一半的双胞胎是早产,但关于早产双胞胎听觉脑干成熟度的研究有限。因此,本研究的目的是比较早产双胞胎和单胎的听觉脑干成熟度,并研究出生顺序对这一成熟过程的影响。本研究回顾性评估了巴博尔医科大学沙菲扎德儿童医院20对双胞胎妊娠中的40名早产双胞胎和20名单胎婴儿的病历。我们纳入了2021年3月至2021年9月期间分娩的婴儿,其孕周(GA)为36或37周,体重超过1500克,并且通过了瞬态诱发耳声发射(TEOAEs)检查。所有纳入的样本均在50和30 dBnHL下通过诊断性听觉脑干反应(ABR)进行检查。早产双胞胎和单胎在平均III波和V波潜伏期以及III-V间期方面没有显著差异。此外,将早产的第二个出生的双胞胎与早产单胎的平均III波和V波潜伏期以及III-V间期值进行比较,未发现出生顺序有明显影响。在当前的回顾性研究中,第一个和第二个出生的双胞胎在脑干水平上的中枢听觉系统成熟度与早产单胎相同。

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