摘要
目的调查脑性瘫痪合并听神经通路损伤的发生率,探讨脑性瘫痪合并听神经通路损伤与性别、脑性瘫痪型别及脑性瘫痪高危因素的关系。方法回顾性调查272例脑性瘫痪患儿的临床资料,了解脑性瘫痪合并听神经通路损伤的发生率,并对脑性瘫痪合并听神经通路损伤发生与性别、脑性瘫痪型别及脑性瘫痪高危因素的关系进行分析。结果272例脑性瘫痪合并听神经通路损伤的发生率为29.8%,其发生率与性别无关(P>0.05),与脑性瘫痪型别有关(P<0.05),其中以手足徐动型和混合型脑性瘫痪合并听神经通路损伤发生率更高(P<0.0071),病理性黄疸、宫内感染与脑性瘫痪合并听神经通路损伤显著相关。结论脑性瘫痪合并听神经通路损伤较普遍,以手足徐动型和混合型脑性瘫痪为著,病理性黄疸、宫内感染是脑性瘫痪合并听神经通路损伤的高度危险因素。
Objective To investigate the incidence of auditory nerve pathway injury complicated with cerebral palsy（CP） and its related factors relationship between the incidence rate of it and sexes, classification and risk factors. Methods The clinical data of 272 children with CP, including the data of brainstem auditory evoked potentials, were retrospectively reviewed. The incidence of auditory nerve pathway injury and the related factors were analyzed. Results In the 272 CP children, the incidence of auditory nerve pathway injury was 29.8% （81：272） , which had a significantly relationship with the clinical types of CP （ P 〈 0.05 ） , （ e. g. children with athetosis or mixed CP were at higher risk of auditory nerve pathway injury） , but sex （P 〉 0.05 ）. In addition, it was found that the pathological jaundice （OR = 2. 945, 95% CI： 1. 649 - 5. 260） and intrauterine infection （OR = 3. 319, 95% CI： 1. 037 - 10. 625） were significantly related to auditory nerve pathway injury. Conclusion The auditory nerve pathway injury is common in CP children, especially in those with athetosis and mixed CP. Pathological jaundice and intrauterine infection are the risk factors of auditory nerve pathway injury.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2007年第6期396-398,共3页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
脑性瘫痪
听神经通路损伤
脑干听觉诱发电位
Cerebral palsy
Auditory nerve pathway injury
Brainstem auditory evoked potential
