摘要
目的探讨脑性瘫痪伴听力损失儿童的听力学特点及高危因素。方法对2009年1月～2010年12月诊断为脑性瘫痪的120例患儿进行听力学诊断,包括ABR、诊断型DPOAE测试,明确是否伴有听力损伤及听损伤的程度和部位,并对听力损伤的高危因素进行分析。结果 120例脑性瘫痪儿童中,双耳ABR反应阈正常82例(68.33%,82/120),其DPOAE均正常;38例(31.67%,38/120)ABR异常,其中,双耳35例,3例轻度、5例中度、3例重度、24例极重度;单耳3例,2例极重度、1例中度听力损失;23例双耳、3例单耳DPOAE未引出,与ABR检查结果一致,符合感音神经性聋诊断;12例双耳DPOAE正常,而ABR波形异常,符合蜗后聋诊断。38例听损伤脑瘫患儿的高危因素主要有高胆红素血症13例(34.21%)、窒息8例(21.05%)、早产低体重8例(21.05%),母孕期感染7例(18.42%)、伴其它新生儿疾病(先天性甲状腺机能低下症、败血症、化脓性脑膜炎、面神经麻痹等)6例(15.79%),脑瘫或耳聋家族史2例(5.26%),有两种或两种以上高危因素者11例。结论本组脑性瘫痪伴听力损失儿童以双耳极重度感音神经性聋为主,其次为双耳极重度蜗后聋,多数脑瘫伴听力损失儿童具有听力损伤高危因素。
Objective To study the audiological characteristics and high risk factors of hearing loss infants with cerebral palsy.Methods 120 infants with cerebral palsy received audiological diagnostic tests,including auditory brainstem response（ABR）,distortion product otoacoustic emission（DPOAE）.The injured parts and degrees were analyzed while high risk factors of hearing loss were analyzed.Results Among 120 cases,38 cases sensorineural hearing loss were found,including 35 cases bilateral hearing loss,3 cases unilateral hearing loss.There were 24 cases of profound hearing loss,3 cases of severe hearing loss,3 cases of mild and 5 cases of moderate hearing loss. According to the result of DPOAE and ABR in 35 bilateral cases,12 cases were consistented with the diagnosis of nerve deafness and 23 cases with the diagnosis of sensorineural hearing loss.The hearing loss was associated with various high risk factors,including history of hyperbilirabinemia（13 cases）,asphyxia and hypoxia（8 cases）,premature and low birth weight neonates（8 cases）,infection during pregnancy（7 cases）,eonatal diseases（6 cases）,family history of deafness and cerebral palsy（2 cases）. Conclusion The audiological characteristics of cerebral paralysed infants exhibit the divervsity of hearing status.Profound binaural sensorineural hearing loss are regarded as the main types of auditory trauma.Most cerebral paralysed infants with auditory trauma are always accompanied by high risk factors.
出处
《听力学及言语疾病杂志》
CAS
CSCD
北大核心
2011年第6期512-514,共3页
Journal of Audiology and Speech Pathology
关键词
脑性瘫痪
听损伤
感音神经性聋
蜗后聋
高危因素
Cerebral palsy
Hearing loss
Sensorineural hearing loss
Retrocochlear hearing loss
Risk factors
