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[听觉脑干反应在足月新生儿颅内出血中的预后意义]

[Prognostic significance of auditory brainstem responses in full-term newborn infants with intracranial hemorrhages].

作者信息

Negishi H, Lee Y, Nishino M, Itoh K, Kawai S, Takada S, Yokoyama N

机构信息

Department of Pediatrics, Takatsuki General Hospital, Osaka.

出版信息

No To Hattatsu. 1993 Jan;25(1):33-9.

PMID:8416694
Abstract

Auditory brainstem response (ABR) was recorded in 41 full-term newborn infants with intracranial hemorrhages (ICH; 10 infants with and 31 infants without neurological sequela) and the data were compared with those obtained in normal full-term newborn infants as controls. The wave-I peak latency was significantly prolonged in the non-sequela group than in the control group and in the sequela group than in the non-sequela group. The wave-III and wave-V peak latencies were significantly prolonged in the ICH group (sequela and non-sequela groups) than in the control group but did not significantly differ between the sequela and non-sequela group. The wave I-V interpeak latency did not significantly differ among the three groups. Among 10 infants in the sequela group, 9 had a V/I amplitude ratio (the amplitude of wave-I divided by the amplitude of wave- V) of less than 1.0. This suggests that the V/I amplitude ratio is of prognostic value in ICH infants.

摘要

对41例患有颅内出血(ICH)的足月儿进行了听性脑干反应(ABR)记录(10例有神经后遗症,31例无神经后遗症),并将数据与作为对照的正常足月儿的数据进行比较。非后遗症组的波I峰潜伏期比对照组显著延长,后遗症组比非后遗症组显著延长。ICH组(后遗症组和非后遗症组)的波III和波V峰潜伏期比对照组显著延长,但后遗症组和非后遗症组之间无显著差异。三组之间的波I-V峰间潜伏期无显著差异。后遗症组的10例婴儿中,9例的V/I振幅比(波I的振幅除以波V的振幅)小于1.0。这表明V/I振幅比在ICH婴儿中具有预后价值。

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