脑干听觉诱发电位对婴幼儿耳聋的诊断价值及早期干预效果分析

Diagnostic value of brain stem auditory evoked potential and effective analysis of early intervention in infant deafness

目的：探讨脑干听觉诱发电位检查对婴幼儿耳聋的早期诊断价值，并对患儿进行早期干预，总结临床疗效。方法：收集我院收治的60例不同程度耳聋患儿的临床资料，利用脑干听觉诱发电位对患儿进行检查，随机分为治疗组（30例）和对照组（30例）。治疗组患儿佩戴助听器、人工耳蜗等进行早期干预5～20个月，对照组不进行特殊处理，比较两组患儿的平均听阈值。结果：干预5～20个月后，治疗组患儿平均听阈为（16．85±3．45）dBHL，对照组患儿平均听阈为（74．35±17．64）dBHL，两组比较差异有统计学意义（P〈0．05）。结论：脑干听觉诱发电位检查是诊断婴幼儿耳聋及判断听觉通路损害较为敏感的方法，对患儿进行早期干预能够改善其听力和语言能力，值得临床推广。

Objective： To discuss the vaule of brain stem auditory evoked potentials（BAEP） in early diagnosis of infant deafness and proceed early intervention in patients,in order to summarize clinical efficacy.Methods： Clinical data of 60 patients in our hospital who had different levels of hearing loss was collected,BAEP was used to checked up for the patients,and then the patients were randomly divided into treatment group（30 cases） and control group（30 cases）,hearing aids,cochlear implants and other early intervention were given in treatment group in 5 to 20 months,while no special treatment was given in control group,then average hearing threshold was compared in two groups.Results： Average hearing threshold was（16.85±3.45） dB HL after 5 to 20 months intervention in treatment group,average hearing threshold was（74.32±18.85） dB HL in control group,the difference was statistically significant（P〈0.05）.Conclusion： BAEP is sensitive in diagnosing infant hearing loss and estimating the damage of auditory pathway.Early intervention can improve the ability of hearing and linguistic competence.It is worthy of clinical application.