ICU室未通过听力筛查的新生儿听性脑干反应临床特征分析  

Clinical characteristics of auditory brainstem response in newborns failing hearing screening in ICU

作　　者：薛莹洁 

机构地区：[1]郑州儿童医院超声医学科,河南郑州450000

出　　处：《包头医学院学报》2018年第2期33-34,共2页Journal of Baotou Medical College

摘　　要：目的:探究重症监护病房(ICU室)未通过听力筛查的新生儿听性脑干反应(ABR)临床特征。方法:选取2012年10月至2017年4月ICU室收治的未通过听力筛查的新生儿(ICU组,n=1 240)和门诊无围生期疾病新生儿(对照组,n=800)为研究对象,两组均进行ABR检测,分析其临床特征。结果:对照组中听力损伤者288例(36.0%),ICU组听力损伤者615例(49.6%),ICU组ABR听力损伤率高于对照组(P<0.05);ICU组ABR平均阈值(41.48±20.33)d B,高于对照组的(19.84±6.64)d B(P<0.05);ICU组双耳Ⅰ、Ⅲ、Ⅴ波潜伏期和Ⅰ~Ⅴ波间期长于对照组(P<0.05)。结论:ICU组新生儿听力损伤发生率高于健康新生儿,ABR异常可以在一定程度上反映患儿听觉传导通路异常。Objective： To explore the clinical characteristics of auditory brainstem response （ABR） in newborns failing hearing screening in intensive care unit （ICU）. Methods： Newborns who were admitted to ICU from October 2012 to April 2017 and failed heating screening （ICU group, n = 1,240） and newborns without perinatal diseases in outpatient clinic （the control group, n =800） were selected as the subjects. The two groups received detection of ABR, and the clinical characteristics were analyzed. Results： There were 288 cases （36.0 % ） and 615 cases （49.6 % ） with heating impairment in the control group and ICU group, respectively. The rate of ABR hearing impairment and the mean threshold of ABR [ （41.48 ± 20.33 ） dB ] in ICU group were higher than those in the control group [ （ 19.84 ± 6.64） dB ] （ P 〈 0.05 ）. The latency of Ⅰ, Ⅲ and Ⅴ waves of both ears and the interval between Ⅰ and Ⅴ wave in the ICU group were longer than those in the control group （ P 〈 0.05 ）. Conclusion： The incidence of hearing impairment in newborns in ICU is higher than that in healthy newborns, and abnormal ABR can reflect the abnormality of auditory conduction pathway to a certain extent.

关 键 词：重症监护病房 听力筛查 听性脑干反应 临床特征 

分 类 号：R764.04[医药卫生—耳鼻咽喉科]