腦外傷患者的聽力學(xué)調(diào)查

摘要： 目的腦外傷后聽力損失的臨床特點(diǎn)和診療措施。方法選擇984例腦外傷患者進(jìn)行了相關(guān)聽力學(xué)檢查,純音測(cè)聽、聲導(dǎo)抗初步檢查發(fā)現(xiàn)82人112耳有聽力學(xué)異常,進(jìn)一步對(duì)112耳行腦干誘發(fā)電位和140Hz聽覺相關(guān)電位檢查。并予對(duì)應(yīng)的治療措施,分析其治療效果。結(jié)果腦外傷患者聽力損失比率為8.35%(82/984),積極治療后聽力改善者46人76耳,有效率(耳數(shù))67.86%。結(jié)論顱腦外傷導(dǎo)致的不同程度的聽力損害,應(yīng)提高警惕,早期發(fā)現(xiàn)、早期診斷、早期治療。
Objective To study the clinical features and management of hearing loss secondary to brain trauma. Methods 984 cases of patients with brain trauma were selected to accept audiologic testing included pure tone audiometry and acoustic immitance.We finded that 82 cases(112 ears )had hearing loss.And we test them further with auditory brainstem response(ABR),and 40Hz auditory event related potentials(AERP).Results The rate of hearing loss in these brain trauma patients is 8.35%(82/984).46 cases(78 ears) had hearing improvemet among 82 cases(112 ears) after positive treatment,the rate of validity(ears) is 67.86%.Conclusion the hearing loss in varying degrees secondary to brain trauma is advisible to be on the alert in order to get an early diagnosis and a prompt treatment.