CAJ | 학술논문

目的探讨颅脑外伤对听力的影响，以供今后的临床工作参考。方法选择2010年8月至2013年7月收治的颅脑外伤患者70例作为观察组，以同期健康体检的正常成年人70例作为对照组，均进行听性脑干反应检查。对比两组患者阈值、各波潜伏期和波间期的差异。结果与对照组对比发现，观察组阈值明显较大，各波潜伏期明显较长，差异具有统计学意义（ P ﹤0.05）。观察组Ⅲ~Ⅳ波间期、Ⅰ~Ⅴ波间期明显较对照组长，差异具有统计学意义（ P﹤0.05）。Ⅰ~Ⅲ波间期组间比较，差异无统计学意义（ P ﹥0.05）。结论颅脑外伤患者多伴有不同程度的听力损害，采用听性脑干反应检查有助于识别听力损害情况，值得临床推广应用。
목적탐토로뇌외상대은력적영향，이공금후적림상공작삼고。방법선택2010년8월지2013년7월수치적로뇌외상환자70례작위관찰조，이동기건강체검적정상성년인70례작위대조조，균진행은성뇌간반응검사。대비량조환자역치、각파잠복기화파간기적차이。결과여대조조대비발현，관찰조역치명현교대，각파잠복기명현교장，차이구유통계학의의（ P ﹤0.05）。관찰조Ⅲ~Ⅳ파간기、Ⅰ~Ⅴ파간기명현교대조조장，차이구유통계학의의（ P﹤0.05）。Ⅰ~Ⅲ파간기조간비교，차이무통계학의의（ P ﹥0.05）。결론로뇌외상환자다반유불동정도적은력손해，채용은성뇌간반응검사유조우식별은력손해정황，치득림상추엄응용。
Objective To investigate the effect on hearing after the craniocerebral trauma,which can used for future clinical reference. Methods 70 cases with traumatic brain injury from Aug. 2010 to Jul. 2013 in our hospital were included into the observation group. 70 cases with normal adults were selected as control group. The auditory brainstem response was recorded. The threshold,the latency and duration of sex differences of the groups were compared and analyzed. Results Compared with control group,the threshold of observation group was larger,latency was longer. The difference was statistically significant( P ﹤0. 05). The wave interval,III ~ IV wave interval of two groups were compared,Ⅰ ~Ⅴ interpeak latency was longer,the difference was statistically significant( P ﹤0. 05). Comparison of Ⅰ ~ III wave interval,no significant difference was detected(P﹥0. 05). Conclusion Different degree of hearing impairment craniocerebral trauma patients with auditory brainstem response was detected. The examination can be curative effect has certain advantages. This method is worth to be popularized in future clinical work.