Int J Pediatr Otorhinolaryngol:早产儿听觉功能的变化:一项前瞻性队列研究

2020-11-09 AlexYang MedSci原创

最近,有研究人员分析早产儿听觉功能的年龄模式,作为其出生时胎龄的功能。

最近,有研究人员分析早产儿听觉功能的年龄模式,作为其出生时胎龄的功能。

研究设计为一个纵向队列研究。前瞻性队列研究包括了271名6个月至15岁的早产儿并分为两组:70名出生时胎龄为32-36周的儿童(组1)和201名胎龄为22-31周的儿童(组2)。研究人员通过ABR、ASSR、OAE、行为测听和纯音测听来评估听力。另外,研究人员还对一些儿童进行了CT、MRI和GBJ2评估。研究发现,初次听力检查发现第1组和第2组分别有18名儿童(25.7%)和64名儿童(31.8%)患有SNHL和ANSD;且初次评估时发现两组听觉障碍的发生无显著差异(P>0.05)。进一步的长期随访发现,16名儿童的听力发生了变化:其中15名来自第2组,只有1名来自第1组。研究共标注了4种不同的听力变化:ANSD儿童的听力恢复到正常水平;迟发听力损失;ANSD转变为SNHL,SNHL转变为ANSD。研究人员还在文中讨论了这种变化的年龄、因素和可能的机制。

两组早产儿听力损失风险因素

最后,研究人员指出,早产儿的听觉功能往往是不稳定的,尤其是在很小的时候。在非常早的早产儿中,它可能会恶化或改善。妊娠31周前出生的婴儿需要长期随访,且至少要到3-4岁。另外,研究人员建议对妊娠32周前出生的孩子进行非常早期的人工耳蜗植入手术时要慎重。

原始出处:

Irina V Savenko , Ekaterina S Garbaruk , Elena A Krasovskaya. Changes in auditory function in premature children: A prospective cohort study. Int J Pediatr Otorhinolaryngol. Oct 2020

 

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    2022-02-15 ms2000001254384452

    学习了

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    2021-12-26 屋顶瞄爱赏月

    学习了

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  5. 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  6. 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  7. 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    2021-01-26 feather89
  8. 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    2021-01-04 nanzaiyuan831

    新生儿听力筛查现在是常规检查吧?

    0

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    2020-11-09 lovetcm

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