摘要
[目的]通过对腮腺炎合并脑膜脑炎(简称腮脑)患儿进行脑干听觉诱发电位(brainstemauditorye-vokedpotential,BAEP)的检测,探讨BAEP在评价腮脑患儿脑损伤及听力状况中的应用价值。[方法]对164例临床诊断为腮腺炎脑膜脑炎的患儿入院后进行BAEP的测定。[结果]164例腮脑患儿中异常BAEP发生率为15.8%(26/164),表现为:Ⅰ、Ⅲ、Ⅴ各波潜伏期(PL)延长(74.5%);Ⅰ-Ⅲ、Ⅲ-Ⅴ、Ⅰ-Ⅴ峰间期延长(18%);听阈值提高(3.66%)。11例BAEP检测异常的患儿随访复查显示:2例波形恢复正常;其中5例听力障碍者未能恢复(100%)。[结论]BAEP是检测腮脑患儿脑损害及听力状态的重要手段之一,由于耳蜗及听神经损害导致的耳聋为不可逆性,腮脑患儿应做BAEP的筛查。
[Objective] To explore the significance of brainstem auditory evoked potential (BAEP) in evaluating the damage of mumps meningoencephalitis to brain and hearing by BAEP screening in children with mumps meningoen-cephalitis. [Method] 164 cases who were clinically diagnosed as mumps meningoencephalitis were screened by BAEP. [Results] Among them,the incidence of abnormal BAEP with characteristic prolonged latent period of different wave(Ⅱ 、Ⅲ、Ⅴ) ,interpeak latency(Ⅰ-Ⅲ、Ⅲ-Ⅴ、Ⅰ-Ⅴ) and higher threshold of auditory sensation was 15. 8%. In the follow-up of the 11 cases with abnormal BAEP,2 cases were get better and 5 cases with hearing loss were irreversible. [Conclusions] BAEP is one of the useful methods for evaluating the damage of mumps meningoencephalitis to brain and hearing . The results suggest that the children with mumps meningoencephalitis should be screened by BAEP.
出处
《中国儿童保健杂志》
CAS
2005年第2期124-126,共3页
Chinese Journal of Child Health Care
关键词
腮腺炎脑膜脑炎
脑干听觉诱发电位
临床检测
mumps meningoencephalitis
brainstem auditory evoked potential
clinical screen
