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| 新生儿缺氧缺血性脑病畸变产物耳声发射听力随访 | |
| 引用本文： | 张峥,迟放鲁,陈超. 新生儿缺氧缺血性脑病畸变产物耳声发射听力随访[J]. 中国组织工程研究与临床康复, 2003, 7(7): 1120-1121 |
| 作者姓名： | 张峥 迟放鲁 陈超 |
| 作者单位： | 1. 复旦大学附属儿科医院,耳鼻喉科,上海市,200032 2. 复旦大学附属耳鼻喉科医院耳鼻喉科,上海市,200032 3. 复旦大学附属儿科医院,新生儿科,上海市,200032 |
| 摘 要： | 目的探讨畸变产物耳声发射应用于新生儿缺氧缺血性脑病听力随访的可行性,从临床角度早期干预有听力损害高危因素的新生儿。方法对35例正常新生儿和45例缺氧缺血性脑病(HIE)新生儿在出生后进行畸变产物耳声发射(DPOAE)检查,对HIE新生儿1,6个月后DPOAE及听性脑干反应(ABR)听力随访。结果HIE组初查,1,6个月复查DPOAE通过率分别为67%,73%,80%;HIE组1个月复查2000Hz,HIE6个月复查2000,4000Hz的通过率高于HIE组初查;有2例HIE新生儿ABR确诊为听力损害。结论DPOAE可作为听力损害的高危因素HIE新生儿听力随访的一种有效方法;HIE新生儿2000,4000Hz听力有改善的可能。 |
| 关 键 词： | 低氧-缺血 脑 婴儿 新生 听力 诱发电位 听觉 脑干 |
| 文章编号： | 1671-5926(2003)07-1120-02 |
| 修稿时间： | 2002-12-12 |
Follow-up of neonates with hypoxici schemic encephalopathy using disto rtion product otoacoustic emissions hearing test |
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| Zhang Zheng ,Chen Chao . Follow-up of neonates with hypoxici schemic encephalopathy using disto rtion product otoacoustic emissions hearing test[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2003, 7(7): 1120-1121 | |
| Authors: | Zhang Zheng Chen Chao |
| Affiliation: | Zhang Zheng 1,Chen Chao 2,1 Department of Otorhinolaryngology,2 Department of Neonatlogy,Children' s Hospital of Fudan University,Shan g-hai 200032,ChinaChi Fanglu,Department of Otorhinolaryngology,Eye-earnose-throat Hospital Affiliated to Fudan University,Shanghai 200032,China |
| Abstract: | Aim To investigate the feasibility and c linical significance of hearing test using distortion produ ct otoacoustic emissions(DPOAE)when it is applied to the follow-up of neonates with hypoxic ischemic encephalop athy(HIE).Methods 35healthy newborns and 45cases of HI E neonates were tested by DPOAE before their discharge of the hospital.All HIE neonates were tested with DPOAE 1and 6months l ater.Those who failed in 2tests with DPOAE were tested with brain-stem response(ABR).The results were compared with those of 35healthy neo nates using prospective cohort.Result The presence of DPOAE in HIE neonates was 67%in the first test.In the follow-up one and six months later,t he presence was 73%and 79%,re-spectively.The presence of DPOAE at2000Hz in the first month and at both 2000Hz and 4000Hz in the 6month were higher than that in the first test.Two HIE neonates were diagnose d as hearing loss by ABR.Conclusion The DPOAE test has been found to be an e fficient way in the follow-up of HIE neonates who are considered as hi gh risk candidates for hearing loss.It is possible that the hearing of HIE neonates could be improved at 2000Hz and 4000Hz. |
| Keywords: | hypoxia-ischemia brain infant newborn hearing evoked potentials auditory brain stem |
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