论文部分内容阅读
目的:探讨脑性瘫痪(简称脑瘫)患儿听力损失的原因,以便使脑瘫患儿的听力损失早发现、早治疗、早干预。方法:调查2005年1～12月于我院脑瘫科病房住院的484例脑瘫患儿,全部患儿进行了听力学检查,并对造成听力损失的多方面因素进行了分析。结果:484例脑瘫患儿ABR检查结果中,异常160例(33.06%)。对其中92例行OAE检查,通过率为36.90%,其中轻度损失通过率(72.00%),明显高于重度听力损失通过率(4.2%)。结论:严重窒息、早产、黄疸是造成儿童脑瘫的主要因素,也是引起听力损伤的主要原因。轻、中度听力损失多为中枢损伤,而重度听力损失多为中枢与耳蜗同时受损。
Objective: To investigate the causes of hearing loss in children with cerebral palsy (CP) for early detection, early treatment and early intervention of children with cerebral palsy. Methods: From January to December 2005, 484 children with cerebral palsy who were hospitalized in cerebral palsy department of our hospital were studied. All of them were examined by audiology, and many factors causing hearing loss were analyzed. Results: Among the 484 children with cerebral palsy, there were 160 cases (33.06%) of abnormal results in ABR examination. Among them, 92 cases underwent OAE examination, with a passing rate of 36.90%, of which mild passing rate (72.00%) was significantly higher than that of severe hearing loss passing rate (4.2%). Conclusion: Severe asphyxia, premature delivery and jaundice are the main causes of cerebral palsy in children and are the main causes of hearing impairment. Light and moderate hearing loss are mostly central injury, and severe hearing loss and more for the central and cochlear impaired.