脑干听觉诱发电位诊断新生儿高胆红素血症的临床应用价值

目的 探讨应用脑干听觉诱发电位(BAEP)诊断新生儿高胆红素血症的临床价值.方法 选择2017-08～2019-08阳春市妇幼保健院收治的98例高胆红素血症新生儿作为观察组,另选择同期98名健康新生儿作为对照组.两组均施行BAEP检测,并比较检测结果.结果 观察组有71例(72.45％)发生BAEP异常,对照组有6例(...

Clinical application value of brainstem auditory evoked potentials in diagnosis of neonatal hyperbilirubinemia

Objective To explore the clinical value of brainstem auditory evoked potentials(BAEP)in diagnosis of neonatal hyperbilirubinemia.Methods From August 2017 to August 2019,ninety-eight newborns with hyperbilirubinemia admitted to Yangchun Maternal and Child Health Hospital were selected as the observation group,and 98 healthy newborns during the same period were selected as the control group.The detection of BAEP was performed in both groups and the results were compared.Results There were 71 cases(72.45%)with abnormal BAEP in the observation group and 6 cases(6.12%)in the control group.There was significant difference in the BAEP abnormal rate between the two groups(χ²=90.374,P=0.000).The BAEP level and response threshold of the observation group were significantly higher than those of the control group in each period(P<0.05).The abnormal rate of BAEP in patients with severely abnormal serum bilirubin was significantly higher than that in patients with moderately and mildly abnormal serum bilirubin(P<0.05),and the abnormal rate of BAEP in patients with moderately abnormal serum bilirubin was also significantly higher than that in patients with mildly abnormal serum bilirubin(P<0.05).Conclusion Application of BAEP has better clinical value in diagnosis of neonatal hyperbilirubinemia,which is conducive to the early understanding of the hearing and brainstem function impairment of the pediatric patients with neonatal hyperbilirubinemia,so as to perform the symptomatic treatment as early as possible.