脑性瘫痪患儿听力损失原因分析

Analysis of the reasons of cerebral pasly children,s hearing lose

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 investigation the further inquiry the reasons of cerebral pasly child＇s hearing lose, and giving the hearing lose children of cerebral pasly overall medical treatments in time, this paper has given the academic comprehensive analysis of the reasons of this synthetic symptom above. Method：By the means of the medical checks of ABR, OAE and acoustic immittance measurements, we have investigated the reasons, and analyzed the types of all cerebral pasly children in our hospital from January to December in 2005. Result： The result of medical checks in 484 cerebral pasly children showed that there were 160 abnormal cases （33.06%）,and we maked OAE medical check to the 92 abnormal cerebral pasly children, there are 36.90% passing rates, among which the passing rate of slight hearing lose （72.00%） is obviously higher than that of the serious hearing lose （4.20%）. Conclusion：The symptoms of serious suffocation, premature delivery, and jaundice are not only the main factors given rise to the cerebral pasly, but also are the main reasons led to cerebral pasly child＇s hearing lose.