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新生儿脑干听觉诱发电位的预后价值

Prognostic value of brainstem auditory evoked potentials in neonates.

作者信息

Stockard J E, Stockard J J, Kleinberg F, Westmoreland B F

出版信息

Arch Neurol. 1983 Jun;40(6):360-5. doi: 10.1001/archneur.1983.04050060060011.

DOI:10.1001/archneur.1983.04050060060011
PMID:6847443
Abstract

The clinical outcome in 74 children at risk for audiologic or neurologic sequelae of a variety of perinatal insults was correlated with brainstem auditory evoked potentials (BAEPs) in the newborn period. No constant relationship was found between BAEP findings and later hearing status in preterm infants or in infants with severe brain damage. However, persistent patterns of wave I abnormality correctly predicted the presence and type of hearing loss in other infants. Central BAEP abnormalities recorded in preterm infants or in infants who had just suffered anoxia had little predictive value. The abnormalities had greater prognostic value when there was a delay between acute injury and testing. Prognostic errors could be minimized in this population by obtaining repeated recordings at least one month post term and after injury from infants who showed BAEP abnormalities in the neonatal period.

摘要

74名有各种围产期损伤导致听力或神经后遗症风险的儿童的临床结果与新生儿期的脑干听觉诱发电位(BAEP)相关。在早产儿或有严重脑损伤的婴儿中,未发现BAEP结果与后期听力状况之间存在固定关系。然而,I波异常的持续模式正确地预测了其他婴儿听力损失的存在和类型。早产儿或刚经历缺氧的婴儿记录到的中枢BAEP异常几乎没有预测价值。当急性损伤与测试之间存在延迟时,这些异常具有更大的预后价值。通过对新生儿期显示BAEP异常的婴儿在足月后至少一个月和受伤后进行重复记录,可以将该人群中的预后误差降至最低。

相似文献

1
Prognostic value of brainstem auditory evoked potentials in neonates.新生儿脑干听觉诱发电位的预后价值
Arch Neurol. 1983 Jun;40(6):360-5. doi: 10.1001/archneur.1983.04050060060011.
2
Brainstem auditory evoked potentials in fullterm and preterm newborns with hyperbilirubinemia and hypoxemia.足月和早产高胆红素血症及低氧血症新生儿的脑干听觉诱发电位
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[Peroperative monitoring of early auditory evoked potentials].[术中早期听觉诱发电位监测]
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Hearing screening of high-risk newborns with brainstem auditory evoked potentials: a follow-up study.采用脑干听觉诱发电位对高危新生儿进行听力筛查:一项随访研究。
Pediatrics. 1984 Jan;73(1):22-6.
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Early diagnosis and evolution of deafness in childhood bacterial meningitis: a study using brainstem auditory evoked potentials.儿童细菌性脑膜炎耳聋的早期诊断与病情发展:一项使用脑干听觉诱发电位的研究
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[Prognostic evaluation of severe brain damage by auditory brainstem evoked potentials (BAEPs)].[听觉脑干诱发电位(BAEP)对重度脑损伤的预后评估]
No To Shinkei. 1989 Mar;41(3):273-81.
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Identification of sensory neural hearing loss in very preterm infants by brainstem auditory evoked potentials.通过脑干听觉诱发电位识别极早产儿的感音神经性听力损失。
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Prognostic significance of the auditory brainstem evoked response in high-risk neonates.高危新生儿听觉脑干诱发电位的预后意义
Dev Med Child Neurol. 1988 Feb;30(1):43-52. doi: 10.1111/j.1469-8749.1988.tb04725.x.

引用本文的文献

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Auditory neural myelination is associated with early childhood language development in premature infants.听觉神经髓鞘形成与早产儿幼儿期语言发育有关。
Early Hum Dev. 2014 Oct;90(10):673-8. doi: 10.1016/j.earlhumdev.2014.07.014. Epub 2014 Sep 9.
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Evaluation of auditory brainstem responses for hearing screening of high-risk infants.用于高危婴儿听力筛查的听觉脑干反应评估。
Indian J Otolaryngol Head Neck Surg. 2009 Mar;61(1):47-53. doi: 10.1007/s12070-009-0034-4. Epub 2009 Mar 31.
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Brainstem auditory-evoked potentials as an objective tool for evaluating hearing dysfunction in traumatic brain injury.脑干听觉诱发电位作为评估创伤性脑损伤听力功能障碍的客观工具。
Am J Phys Med Rehabil. 2004 Mar;83(3):210-5. doi: 10.1097/01.phm.0000113402.85460.59.
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Use of evoked potentials in preterm neonates.诱发电位在早产儿中的应用。
Arch Dis Child Fetal Neonatal Ed. 1996 Jan;74(1):F70-6. doi: 10.1136/fn.74.1.f70.
6
Long term follow up of newborns tested with the auditory response cradle.使用听觉反应摇篮对新生儿进行的长期随访。
Arch Dis Child. 1984 Jun;59(6):504-11. doi: 10.1136/adc.59.6.504.
7
Brainstem auditory evoked potential abnormalities in myelomeningocoele in the older child.大龄儿童脊髓脊膜膨出患者的脑干听觉诱发电位异常
J Neurol Neurosurg Psychiatry. 1987 Oct;50(10):1318-22. doi: 10.1136/jnnp.50.10.1318.
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Some comments on the clinical use of evoked potentials.关于诱发电位临床应用的一些评论。
Eur Arch Psychiatry Neurol Sci. 1986;235(5):292-8. doi: 10.1007/BF00515916.