婴幼儿听力意外伤害的原因分析

Cause analysis of hearing accidental injury in infants and young children

目的探讨婴幼儿听力意外伤害的常见原因,教育提醒家长在照顾婴幼儿时最需要注意的事项以避免听力意外伤害。方法回顾在郑州大学第三附属医院耳鼻喉科门诊就诊的听力意外伤害婴幼儿患者28例,分析其形成原因并检测听力恢复的情况,三个月后期行电耳镜,耳声发射,ABR,40Hz相关电位检测听力恢复情况。结果确诊为婴幼儿听力意外伤害的患儿为28例,捅伤的22例(78.57%),听力完全恢复的有16例(捅伤病例的72.73%),其中棉签损伤的20例(71.43%),听力完全恢复的有14例(70%);昆虫损伤的3例(10.71%),听力完全恢复的有2例(66.67%);其它损伤的3例(10.71%),听力完全恢复的有1例(33.33%)。结论听力意外伤害是婴幼儿听力障碍的主要原因之一,尤以棉签捅伤最为常见且后果严重,家长应加强这方面的监护意识。

Objective To investigate the cause of hearing accidental injury in infants and young children to remind parents pay more attention to how to avoid children＇s hearing accidental injury. Methods Review of 28 cases of infantile patients with hearing accidental injury in the Department of ENT in our hospital. The formation reasons were analyzed and acoustic immittance,otoacoustic emission,brainstem auditory evoked potential,40 Hz potential were used for hearing recovery after three months later. Results The child was diagnosed as hearing accidental injury in28 cases,22 cases（ 78. 57 %） stabbed and 16 cases（ 72. 73 %） with complete recovery,20 cases（ 71. 43 %）stabbed by the cotton swab injury,and 14 cases（ 70 %） with complete recovery; Insects accounted for 3 cases（ 10. 71%）,and 2 cases（ 66. 67%） of the total recovery of hearing; Other reasons accounted for 3 cases（ 10. 71% %）,and 1 cases（ 33. 33%） of the total recovery. Conclusion One of the main causes of hearing loss in infants and young children were hearing accidental injury,especially stab by the cotton swab,parents should strengthen the attention of this aspect.