李洪英，王纪文，叶淑新.脑干听觉诱发电位在幼儿脑性瘫痪中的应用价值探讨[J].中华物理医学与康复杂志,2003,(5):.-
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| 脑干听觉诱发电位在幼儿脑性瘫痪中的应用价值探讨 |
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| DOI： |
| 中文关键词: 脑性瘫痪 诱发电位 窒息 多功能障碍 儿童 |
| 英文关键词: Cerebral palsy Evoked potentials Asphyxia Dysfunction Infants |
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| 中文摘要: |
| 目的探讨脑干听觉诱发电位（BAEP）在脑性瘫痪中的应用价值。 方法采用意大利产ESAOTEBIOMDICA 4导诱发肌电图仪，测定6～30个月龄脑性瘫痪患儿86例和60例正常婴幼儿（对照组）的BAEP，并将脑性瘫痪患儿的BAEP检测结果与脑性瘫痪患儿出生时窒息程度及合并的多项功能障碍做比较分析。 结果脑性瘫痪患儿BAEP与对照组比较，Ⅲ、Ⅴ波潜伏期延长（P<0.05），Ⅲ～Ⅴ波峰间期延长(P<0.05)，BAEP异常组出生时多有中、重度窒息（P<0.005），其合并的多项功能障碍明显高于BAEP正常组(P<0.05)。 结论脑性瘫痪患儿听觉传导通路损害以脑干上橄榄核以上部位受损多见；BAEP不仅可用于脑性瘫痪患儿的听力损害检测，而且对合并的其他多功能障碍及其预后的判断均有一定的辅助诊断价值。 |
| 英文摘要: |
| Objective To study the utility of brainstem auditory evoked potentials in the evaluation of children with cerebral palsy. MethodsIn a group of 86 cases of cerebral palsy aged 6~30 months and a control group of 60 normal children, the brainstem auditory evoked potentials were recorded and subsequently analyzed and evaluated correlatively with asphyxia during birth and their functional impairments (including the visual, speech impairment, epilepsy and eating dysfunction). ResultsThe latencies of waves Ⅲ、Ⅴ,the interpeak latencies(IPLs) of waves Ⅲ-Ⅴof BAEP in children with cerebral palsy were often abnormal（P<0.05）.There was a statistically significant association between these abnormal BAEP recordings and asphyxia(P<0.005),as well as functional impairments(P<0.05). ConclusionBAEP can be used to find out the hearing disorder in children with cerebral palsy, and abnormal BAEP recordings in children with cerebral palsy are indicative of poor prognosis and associated dysfunctions. |
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