未通过听力筛查的重症监护病房新生儿听性脑干反应特点分析

发布时间：2018-08-16 16:37

【摘要】：目的探讨重症监护病房未通过听力筛查的新生儿听性脑干反应的特点。方法选择2014年3月至2015年5月单耳或双耳未通过自动判别听性脑干反应(AABR)或畸变产物耳声发射(DPOAE)筛查的NICU新生儿(NICU组,425例)及门诊无围生期疾病健康新生儿(健康组,833例)进行听性脑干反应检测。结果Ⅴ波反应阈大于或等于30dB者健康组301例(36.1%),NICU组211例(49.6%),NICU新生儿ABR听力异常率明显高于健康新生儿(P0.05)。健康组ABR平均阈值为(19.76±6.59)dB,NICU组ABR平均阈值为(41.52±20.35)dB,比较差异有统计学意义(P0.05)。NICU组双耳Ⅰ、Ⅲ、Ⅴ波潜伏期及Ⅰ~Ⅴ波间期明显较健康组延长(P0.05)。结论 NICU新生儿听力损失程度高于健康新生儿,ABR的异常反映了听觉传导通路异常。
[Abstract]:Objective to investigate the characteristics of auditory brainstem response in neonates without hearing screening in intensive care unit (ICU). Methods from March 2014 to May 2015, 425 cases of NICU newborns (NICU group) and healthy neonates without perinatal diseases (healthy) who were not screened by automatic discriminant auditory brainstem response (AABR) or distortion product otoacoustic emission (DPOAE) were selected. The auditory brainstem response was measured in 833 patients in the Kang group. Results the abnormal rate of ABR hearing in neonates in 30dB group was significantly higher than that in healthy neonates (P 0.05). There were 301 cases (36.1%) in healthy group and 211 cases (49.6%) in NICU group. The average threshold of ABR in healthy group was (19.76 卤6.59) dBNICU, the average threshold of ABR was (41.52 卤20.35) dB, the difference was statistically significant (P0.05). The latency of wave 鈪，

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