脑干听觉诱发电位在痉挛型脑性瘫痪患儿中的应用探讨  

Application of brainstem auditory evoked potentials in evaluation of children with spastic cerebral palsy

作　　者：林俊[1] 郑红卫[2] 王丽丽[2] 熊萍[2] 朱静芳[2] 胡玉辉[2] 孙谨华[2] 孙江红[2] 

机构地区：[1]武汉大学2000研究生进修班 [2]武汉市儿童医院康复科

出　　处：《中华物理医学与康复杂志》2003年第6期347-349,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的　探讨脑干听觉诱发电位在痉挛型脑瘫患儿中的应用价值。方法　依据脑瘫诊断标准 ,将 58例痉挛型脑瘫患儿分为双瘫组、双重性偏瘫组及四肢瘫组 ,同时选取 2 8例正常儿童作为对照组 ,并比较各组间脑干听觉诱发电位 (BAEP)的差异。结果　痉挛型脑瘫患儿中 ,双重性偏瘫及四肢瘫患儿的BAEP异常率明显高于双瘫组 (P均 <0 .0 1 )。结论　脑干听觉诱发电位有助于早期发现脑瘫患儿存在的听力障碍 。Objective To explore the value of brainstem auditory evoked potentials (BAEP) in the evaluation of spastic cerebral palsy (CP). Methods Forty five cases of CP children were recruited and divided, according to the diagnosis standards, into three groups: diplegia, hemiplegia and tetraplegia groups. Twenty three healthy children served as control. BAEP was recorded from all the subjects and comparisons were done among the various groups. Results The abnormality rate of BAEP in the hemiplegia and tetraplegia groups was significantly higher than that in the diplegia group ( P <0.01). Conclusion BAEP is useful for early detection of the auditory deficit in CP children and can provide prognostic information for CP.

关 键 词：脑干听觉诱发电位 痉挛型脑性瘫痪 诊断 听力障碍 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R741.044[医药卫生—临床医学]