听觉脑干诱发电位对感音神经性耳聋病灶定位的相关性研究

发布时间：2019-07-30 08:38

【摘要】：目的综合分析听觉脑干诱发电位(brainstem auditory evoked potential,BAEP)对感音神经性耳聋(neurosensory deafness)病灶定位的检查结果,为治疗感音神经性耳聋患者提供科学的数据参考。方法选取我院在2014年9月至2015年9月收治的感音神经性耳聋患者的临床资料42例作为实验组(其中有21例中枢性感音耳聋患者,21例神经性感音耳聋患者),并且选取同期我院健康组42例作为对照组。采用SPSS11.0统计学软件进行统计学分析检测实验组与对照组两组人群的BAEP波长光谱、预后状况的相关影响。结果实验组患者相对于对照组患者来说,其BAEP的I~II波的分化程度以及可重复性比较差,IPL(强脉冲光)延迟;中枢性感音耳聋患者的预后良好率为60.22%,神经性感音耳聋患者的预后良好率为21.44%,中枢性感音耳聋患者的预后良好率显著高于神经性感音耳聋患者,两组数据比较差异有统计学意义(P0.05);中枢性感音耳聋患者的预后不良率显著低于神经性感音耳聋患者,两组数据比较差异有统计学意义(P0.05)。结论分析BAEP的变化特点能够及时的判断出感音神经性耳聋患者的病灶部位。
[Abstract]:Objective to analyze the results of auditory brainstem evoked potential (brainstem auditory evoked potential,BAEP) in the localization of (neurosensory deafness) lesions in sensorineural deafness, and to provide scientific data reference for the treatment of sensorineural deafness. Methods the clinical data of 42 patients with sensorineural deafness treated in our hospital from September 2014 to September 2015 were selected as the experimental group (including 21 patients with central sensorineural deafness and 21 patients with neurosensory deafness), and 42 healthy patients in our hospital were selected as the control group at the same time. SPSS11.0 statistical software was used to detect the BAEP wavelength spectrum and prognosis of the experimental group and the control group. Results compared with the control group, the differentiation degree and reproducibility of I~II wave in BAEP of the experimental group were worse than those of the control group (, IPL (strong pulse light). The good prognosis rate was 60.22% in patients with central sensorineural deafness and 21.44% in patients with neurosensory deafness. The good prognosis rate in patients with central sensorineural deafness was significantly higher than that in patients with neurosensory deafness (P 0.05). The poor prognosis rate of patients with central sensorineural deafness was significantly lower than that of neurotic deafness patients, and there was significant difference between the two groups (P 0.05). Conclusion the changes of BAEP can be used to determine the location of sensorineural deafness in time.
【作者单位】：哈尔滨市第二医院耳鼻喉科;
【分类号】：R764.43

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