| 脑性瘫痪伴听力损失儿童的听力学特点及高危因素分析 |
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| 引用本文： | 唐向荣,黄丽辉,李红辉,杨艳,林楠,周雪燕.脑性瘫痪伴听力损失儿童的听力学特点及高危因素分析[J].听力学及言语疾病杂志,2011,19(6):512-514. |
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| 作者姓名： | 唐向荣 黄丽辉 李红辉 杨艳 林楠 周雪燕 |
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| 作者单位： | 1. 广西壮族自治区柳州市妇幼保健院耳鼻喉专科 柳州545001
2. 首都医科大学附属北京同仁医院北京市耳鼻喉研究所 |
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| 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。
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| 关 键 词： | 脑性瘫痪 听损伤 感音神经性聋 蜗后聋 高危因素 |
The Audiology Characteristics and High Risk Factors of Hearing Loss Infants with Cerebral Palsy |
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| Tang Xiangrong,Huang Lihui,Li Honghui,Yang Yan,Lin Nan,Zhou Xueyan.The Audiology Characteristics and High Risk Factors of Hearing Loss Infants with Cerebral Palsy[J].Journal of Audiology and Speech Pathology,2011,19(6):512-514. |
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| Authors: | Tang Xiangrong Huang Lihui Li Honghui Yang Yan Lin Nan Zhou Xueyan |
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| Affiliation: | Tang Xiangrong*,Huang Lihui,Li Honghui,Yang Yan,Lin Nan,Zhou Xueyan(*Liuzhou City of Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital,Liuzhou,545001,China) |
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| Abstract: | 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 unilat... |
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| Keywords: | Cerebral palsy Hearing loss Sensorineural hearing loss Retrocochlear hearing loss Risk factors |
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