The auditory brain stem response reliably predicts hearing loss in graduates of a tertiary intensive care nursery.
The auditory brain stem response reliably predicts hearing loss in graduates of a tertiary intensive care nursery.
复制标题
听觉脑干反应可以可靠地预测三级重症监护室毕业生的听力损失。
DOI：
10.1097/00003446-198407000-00011
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发表时间：
1984
期刊：
影响因子：
3.7
通讯作者：
Wilson,MJ
中科院分区：
文献类型：
--
作者：
Galambos,R;Hicks,GE;Wilson,MJ
婴儿（N= 642）进行了测试的听觉障碍，使用听觉脑干反应（ABR），在他们从三级重症监护室（ICN）出院的时候。在单耳或双耳ABR阈值升高的患者中（N= 97），61%（N= 59）在几个月后通过一系列听力学测试进行了重新测试; 21人（N= 642的3.3%）患有双耳外周损失，11人（1.7%）现在佩戴助听器。这些新的数据，当与以前从同一个ICN报告的类似数据相结合时，产生了一个在5.8年期间检查的1613名婴儿的样本，从中得出以下结论：（1）大约16%的ICN婴儿离开医院时，一只或两只耳朵的灵敏度降低;（2）听力缺陷是永久性的8%至10%;（3）感觉神经性的、双侧的损失，大约4%的损失如此严重，以至于需要助听器来优化他们的语言和心理社会发展。使用ABR程序进行新生儿听力测试是几个批评的目标：它被应用于过早的生命;其预测永久性听力损失是不可接受的不准确;或/和它太昂贵。我们讨论这些和其他已经提出的反对意见。
Babies (N= 642) were tested for auditory disorder, using the auditory brain stem response (ABR), at the time of their discharge from a tertiary intensive care nursery (ICN). Of those with ABR threshold elevation in one or both ears (N= 97), 61%(N= 59) were retested some months later by a battery of audiological tests; 21 (N= 3.3% of the 642) suffered binaural peripheral loss and 11 (1.7%) now wear hearing aids. These new data, when combined with similar data previously reported from the same ICN, yield a sample of 1613 babies examined during a 5.8-year period from which these conclusions emerge:(1) About 16% of our ICN babies leave the hospital with reduced sensitivity in one or both ears;(2) the hearing deficiency is permanent for 8 to 10%;(3) the loss is sensorineural, bilateral, and so severe for about 4% that hearing aids will be required to optimize their language and psychosocial development. Use of the ABR procedure for neonatal hearing testing is the target of several criticisms: it is being applied too early in life; its predictions about permanent hearing loss are unacceptably inaccurate; or/and it is too costly. We discuss these and still other objections that have been raised.