Liu Chun Ming , Liu Yun , He Li Ping , Zhang Yang Ping , Zhao Yi Bin , Zhou Yi Qing , Cao Xuan Lan , Deng Xiao Li . Clinical Characteristics of Brainstem Auditory Evoked Potential in Children with Brain Injury Syndrome[J]. Journal of Kunming Medical University, 2019, 40(03): 78-82.
Citation: Liu Chun Ming , Liu Yun , He Li Ping , Zhang Yang Ping , Zhao Yi Bin , Zhou Yi Qing , Cao Xuan Lan , Deng Xiao Li . Clinical Characteristics of Brainstem Auditory Evoked Potential in Children with Brain Injury Syndrome[J]. Journal of Kunming Medical University, 2019, 40(03): 78-82.

Clinical Characteristics of Brainstem Auditory Evoked Potential in Children with Brain Injury Syndrome

Funds:

基金: 云南省卫生科技计划项目 (2016N8123); 昆明市卫生科技人才培养项目[2017-SW (后备) -68];

  • Received Date: 2018-10-15
  • Objective To provide evidences for early intervention in chidren with brain injury syndrome through studing the hearing characteristics and influencing factors in these children. Methods A total of 466 children with brain injury syndrome were selected who visited Kunming children's Hospital from June 2017 to June2018. All children were examined by brainstem auditory evoked potential (BAEP) . The premature infants group (34-37 weeks, 31-34 weeks, < 31 weeks threegroups) , hypoxia group (HIE and non-HIEtwo groups) and jaundice group (nuclear jaundice and non-nuclear jaundice twogroups) were analyzed statistically to compare the difference of hearing impairment rate and severity between different degreeof risk factors.Result The abnormal detection rate of BAEP was the highest in the nuclear jaundice group (51.9%) .There was no significant difference in the abnormal rate of BAEP among three groups of preterm infants of different gestational age (χ2= 5.826, P >0.05) , but there was significant difference in the degree of hearing impairment (Z = 11.837, P < 0.01) .The smaller the gestational age, the more serious the hearing damage. There was no significant difference in the abnormal rate of BAEP between HIE group and non HIE group ( χ2= 3.66, P > 0.05) , but there was significant difference in the degree of hearing impairment (Z =-2.107, P < 0.05) , hearing impairment in HIE group was more serious than that in non-HIE group. The abnormal rate of BAEP and the degree of hearing impairment were significantly different between the nuclear jaundice and non-nuclear jaundice. The abnormal rate of BAEP was higher and the degree of hearing impairment was more serious in the group of nuclear jaundice. (χ2= 22.286, P <0.01, Z =-2.666, P < 0.01) .Conclusions In the children with brain injury syndrome, the smaller the week of premature delivery, HIE and the nuclear jaundice, the more serious degree of hearing impairment. In children with hyper bilirubinemia, the rate of abnormal hearing in nuclear jaundice is higher than that in children without nuclear jaundice. Therefore, BAEP test should be performed as soon as possible to assess the hearing status of children with the above risk factors.
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