脑性瘫痪患儿听力障碍的临床特点及早期干预研究

Clinical Features of Hearing Impairement of Children with Cerebral Palsy and Its Early Intervention

目的分析脑性瘫痪(CP)伴听力障碍患儿的临床特点,以便对患儿进行早期干预,为进一步改善预后及提高生活质量提供参考。方法干预前对100例CP患儿进行听力诊断,记录其听觉脑干诱发电位(ABR)结果,早期干预治疗2个月后再次记录ABR诊断结果。结果 100例患儿中ABR反应阈异常者34例(34.0%),极重度患儿24例(70.59%),明显多于轻、中、重度患儿(P<0.05),经康复训练干预后极重度、重度听力损伤患儿比例明显降低(P<0.05)。结论 CP患儿具有严重的听力障碍,以感觉神经性耳聋和蜗后聋为主,早期康复训练干预,能够显著改善CP患儿听力障碍,值得临床推广。

Objective To explore the clinical features associated with cerebral palsy in children with hearing impairment for the prevention and treatment of children with cerebral palsy to pro- vide reference for prognoses and life quality.Methods Before intervention, 100 cases of children with CP were diagnosed with hearing imparement, the results of ABR were recorded,and the patients were treated with early intervention, and the results of ABR diagnosis were recorded again after 2 months.Results There were 34 cases （34.0%） with abnormal ABR threshold in 100 cases, very severe in 24 cases （70.59%）, which were significantly more than mild, moderate and severe cases in children （P〈0. 05）.After the rehabilitation interventions,the proportion of children with verysevere and severe hearing loss was significantly lower （P〈0.05）.Conclusion Cerebral palsy in children with severe hearing impairment occurred most with sensorineural deafness and cochlear deafness. Early rehabilitation intervention can significantly improve hearing impairment in children with cerebral palsy, thus it is worth promoting in clinical practice.