听性脑干反应检查在诊断新生儿胆红素脑病中的意义

Meaning of the Auditory Brainstem Response in the Diagnosis of Neonatal Bilirubin Encephalopathy

目的：探讨听性脑干反应在诊断新生儿胆红素脑病中的意义。方法：对11例新生儿胆红素脑病进行听性脑干反应（ABR）检测和畸变产物耳声发射（DPOAE）检测。结果：7例新生儿胆红素脑病ABR的I、III、V波均消失，3例引出I波，1例引出ABR的I、III、V波；DPOAE有19耳通过，3耳未通过，通过率为86．4％。2例在6个月后复查：其中有引出I波的患儿1例，复查结果显示ABR正常，且DPOAE通过；1例为I、III、V波均消失，复查结果ABR仍消失，但DPOAE未通过（原来通过）。结论：听性脑干反应在诊断新生儿胆红素脑病中有肯定的应用价值。

Objective： To investigate the auditory brainstem response in the diagnosis of neonatal bilirubin encephalopathy. Methods： 11 cases of neonatal bilirubin encephalopathy of auditory brain- stem response （ABR） and distortion product otoacoustic emission （DPOAE） detection. Results： 7 cases of neonatal bilirubin encephalopathy in ABR I, III, V wave disappeared, 3 cases leads to I wave, 1 cases leads to I, III, V waves of the ABR; 19 ears through and 3 ears did not pass in DPOAE, the pass rate is 86.4%. 2 cases in 6 months after the review： 1 cases leads to I wave, re- view the results showed normal ABR, and through DPOAE; 1 cases leads to I, III, V waves disap- peared, review the results of ABR still disappear, but not by DPOAE （original）. Conclusion： The au- ditory brainstem response has application value in the diagnosis of neonatal bilirubin encephalopathy sure of.