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[点击诱发耳声发射和听性脑干反应在新生儿重症监护后早产儿和新生儿听力障碍早期检测中的应用]

[Click-evoked otoacoustic emissions and acoustic brain stem potentials in early detection of hearing disorders in premature and newborn infants after neonatal critical care].

作者信息

Lauffer H, Pröschel U, Gerling S, Wenzel D

机构信息

Klinik für Kinder und Jugendliche, Universität Erlangen-Nürnberg.

出版信息

Klin Padiatr. 1994 Mar-Apr;206(2):73-9. doi: 10.1055/s-2008-1046586.

DOI:10.1055/s-2008-1046586
PMID:8196310
Abstract

Evoked otoacoustic emissions (EOAE) and brainstem acoustic evoked potentials (BAEP) were recorded from 78 children following neonatal intensive care. In 23% no EOAE could be obtained. Hearing impairment in the BAEP was found in 9%. In 22% negative EOAE were found in spite of normal BAEP. According to the latency-intensity function of waves I and V all children with abnormal BAEP were classified having a conductive hearing loss. In accordance in no case a narrowing of the emission spectrum could be found in the EOAE. In both methods the rate of hearing impairment was highest in children with birth weights of less than 1000 g. A screening of all infants after neonatal intensive care using EOAE is recommended. BAEP should be done additionally in cases with deficient EOAE.

摘要

对78名接受过新生儿重症监护的儿童进行了诱发耳声发射(EOAE)和脑干听觉诱发电位(BAEP)记录。23%的儿童无法获得EOAE。BAEP显示有听力障碍的儿童占9%。22%的儿童尽管BAEP正常,但EOAE呈阴性。根据波I和波V的潜伏期-强度函数,所有BAEP异常的儿童均被归类为传导性听力损失。同样,在EOAE中未发现一例发射频谱变窄的情况。两种方法中,出生体重低于1000克的儿童听力障碍发生率最高。建议对所有接受过新生儿重症监护的婴儿进行EOAE筛查。EOAE不足的病例应额外进行BAEP检查。

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