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脑干诱发电位技术在新生儿急性胆红素脑病早期诊断中的价值

任常军 万丽 李然 张磊 郝玲

实用医学杂志Issue(4):563-565,3.
实用医学杂志Issue(4):563-565,3.DOI:10.3969/j.issn.1006-5725.2014.04.020

脑干诱发电位技术在新生儿急性胆红素脑病早期诊断中的价值

The value of BAEF in early diagnosis of acute bilirubin encephalopathy in newborn

任常军 1万丽 2李然 3张磊 1郝玲1

作者信息

  • 1. 050031 河北医科大学第一医院
  • 2. 050019 河北省石家庄市疾病预防控制中心
  • 3. 100071 中国人民解放军307医院儿科
  • 折叠

摘要

Abstract

Objective Acute bilirubin encephalopathy in neonates is the most serious complication of neonatal hyperbilirubinemia, is one of the main causes of neonatal death and disability. Clinical early diagnosis, early treatment can improve the prognosis in children. Methods Brainstem auditory evoked potential (BAEF) was detected on two patients (40 patients with ABE, 40 cases of normal controls, all full-term) in the state of sleep in children and analysis the difference between the two groups ,all testing was completed by experienced Department of ENT full-time technician in charge,SPSS15.0 statistical analysis software was took for data analysis (using rank sum test method). Results There was significant difference between the two groups of neonatal latency of wave I, latency of waveⅤ, interpeak time , acute bilirubinⅠ-Ⅴencephalopathy group was significantly longer than that of the control group. Conclusions The BAEF detection is the sensitive index of brainstem damage , can objectively and sensitively reflect the function of the central nervous system , can reflect the functional status of cochlear and brainstem structures , often brainstem was slightly damaged but no clinical symptoms and signs , BAEP has changed significantly , so the conventional BAEP examination performed on patients with hyperbilirubinemia help to find bilirubin brain damage as early as possible,and prevent the occurrence of bilirubin encephalopathy.

关键词

急性胆红素脑病/新生儿/脑干诱发电位/早期诊断

Key words

Acute bilirubin encephalopathy/Newborn/Early diagnosis/Brainstem auditory evoked potential

引用本文复制引用

任常军,万丽,李然,张磊,郝玲..脑干诱发电位技术在新生儿急性胆红素脑病早期诊断中的价值[J].实用医学杂志,2014,(4):563-565,3.

实用医学杂志

OA北大核心CSTPCD

1006-5725

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