高压氧辅以音乐疗法治疗婴幼儿缺氧缺血性脑病致听力障碍的效果

The Therapeutic Effect of Hyperbaric Oxygen Combined with Music Therapy on Hearing Impairment Caused by Hypoxic-ischemic Encephalopathy in Infants and Young Children

目的探讨高压氧辅以音乐疗法治疗婴幼儿缺氧缺血性脑病致听力障碍的疗效及听力检测结果。方法选取2022年6月~2023年6月我院收治的64例缺氧缺血性脑病致听力障碍的婴幼儿,采用随机数字表法划分,对照组(n=32)采用高压氧治疗,观察组(n=32)在对照组基础上辅以音乐疗法,对比两组治疗效果、纯音听阈均值、相关实验室指标、不良反应及家属满意度。结果治疗后,2组患儿的纯音听阈均值、实验室指标均下降,观察组纯音听阈均值低于对照组、全血黏度(whole blood specific viscosity,WBV)、红细胞聚集指数(red blood cell aggregation index,AI)及免疫功能指标显著低于对照组(P<0.05)。观察组不良反应发生率高于对照组,但组间比较无差异(P>0.05)。观察组家属的满意度调查结果更高,数据比较存在显著差异(P<0.05)。结论针对缺氧缺血性脑病致听力障碍的患儿,通过给予高压氧辅以音乐疗法能够有效提高患儿的听力状况,对改善其实验室指标、降低不良反应发生率具有积极作用,患儿家属满意度较高。

Objective To explore the efficacy and hearing test results of hyperbaric oxygen combined with music therapy in the treatment of hearing impairment caused by hypoxic-ischemic encephalopathy in infants and young children.Methods 64 infants and young children with hearing impairment caused by hypoxic-ischemic encephalopathy admitted to our hospital from June 2022 to June 2023 were selected as the research subjects.The Random number table method was used for division.The control group(n=32)received hyperbaric oxygen therapy,while the observation group(n=32)received music therapy in addition to the control group.The treatment effects,mean pure tone hearing threshold,relevant laboratory indicators,adverse reactions,and evaluation of family satisfaction were compared between the two groups.Results After treatment,the mean pure tone hearing threshold and laboratory indicators of both groups of children showed a decrease.The observation group had a lower mean pure tone hearing threshold than the control group,and lower whole blood specific viscosity(WBV),red blood cell aggregation index(AI),and immune function indicators than the control group(P<0.05).The incidence of adverse reactions in the observation group was higher than that in the control group,but there was no significant difference between the groups(P>0.05).Compared with the control group's family members,the satisfaction survey results of the observation group's family members were higher,and there was a significant difference in the data comparison(P<0.05).Conclusion For children with hypoxic-ischemic encephalopathy,providing hyperbaric oxygen combined with music therapy can effectively improve their hearing status,improve their laboratory indicators,and reduce the incidence of adverse reactions.The satisfaction of the children's families is high,and it is suitable for clinical promotion and application.