《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (06): 553-554.

• 临床研究 • 上一篇    下一篇

963例脑瘫合并听神经通路损伤患儿临床分析

王跑球; 张惠佳; 王益梅; 覃蓉; 龙亚君   

  1. 湖南省儿童医院康复中心,湖南长沙市 410007
  • 收稿日期:2006-08-16 出版日期:2007-06-01 发布日期:2007-06-01

Auditory Nerve Way Injury of Children with Cerebral Palsy:A 963-case Report

WANG Pao-qiu, ZHANG Hui-jia, WANG Yi-mei, et al   

  1. The Rehabilitation Central of Hunan Children's Hospital, Changsha 410007, Hunan, China
  • Received:2006-08-16 Published:2007-06-01 Online:2007-06-01

摘要: 目的了解脑瘫患儿听神经通路损伤发生率,以及与性别、脑瘫分型及脑瘫高危因素的关系。方法回顾性调查963例脑瘫患儿的临床资料,了解脑瘫合并听神经通路损伤的发生率,以及与性别、脑瘫分型及脑瘫高危因素的关系。结果963例脑瘫患儿听神经通路损伤发生率为24.5%(236/963),发生率无性别差异(P>0.05),不同脑瘫分型之间有显著性差异(P<0.05),手足徐动型与混合型脑瘫发生率最高(P<0.01),病理性黄疸是造成脑瘫合并听神经通路损伤的高危因素( OR=2.029,95%CI:1.483~2.774)。结论脑瘫患儿多合并听神经通路损伤,其发生率与性别无关,与脑瘫分型有关,手足徐动型与混合型脑瘫发生率最高,病理性黄疸是高危因素。

关键词: 脑性瘫痪, 听神经通路损伤, 脑干听觉诱发电位

Abstract: Objective To investigate the incidence rate of auditory nerve way injury in children with cerebral palsy (CP) and the relationship with sexes, CP types and risk factors.MethodsThe clinic data of 963 children with CP were reviewed to find out the incidence rate of auditory nerve way injury in CP children and the relationship with sexes, CP types and risk factors.ResultsIn 963 CP children, the incidence rate of auditory nerve way injury was 24.5% (236/963), there was no sexes difference ( P>0.05), but there was a significant difference among different CP types ( P<0.05), athetosis and mixed CP had higher incidence rate ( P<0.01). Furthermore, pathological jaundice was high risk factor ( OR=2.0279, 95%CI:1.483~2.774).ConclusionCP children are often complicated with auditory nerve way injury, it not relate with sexes, but with CP type, athetosis and mixed CP have a higher incidence rate of auditory nerve way injury, and the pathological jaundice is a high risk factors.

Key words: cerebral palsy, auditory nerve way injury, brainstem auditory evoked potentials