中华实用儿科临床杂志
中華實用兒科臨床雜誌
중화실용인과림상잡지
Journal of Applied Clinical Pediatrics
2015年
2期
99-101
,共3页
王华伟%吴冰%刘敬%王三梅
王華偉%吳冰%劉敬%王三梅
왕화위%오빙%류경%왕삼매
3.0T磁共振%脑干听觉诱发电位%听力损害%婴儿,新生
3.0T磁共振%腦榦聽覺誘髮電位%聽力損害%嬰兒,新生
3.0T자공진%뇌간은각유발전위%은력손해%영인,신생
3.0T magnetic resonance%Brainstem auditory evoked potential%Acoustic trauma%Infant,newborn
目的 通过脑干听觉诱发电位(BAEP)观察新生儿在实施3.0T磁共振(MR)检查后听力传导系统的变化,探讨3.0T MR是否对新生儿听力系统造成不良影响.方法 选取2013年8至12月入住北京军区总医院附属八一儿童医院足月新生儿监护中心行3.0T MR检查的患儿49例,剔除可导致听力障碍的外耳发育畸形等异常者.比较患儿在MR前后双耳BAEP波Ⅰ、Ⅲ、Ⅴ的潜伏期以及峰间期的差异,采用SPSS 16.0软件进行统计学分析.结果 MR检查前后,BAEP各指标分别为:(1)潜伏期:左耳Ⅰ波(1.96±0.22) ms比(1.95 ±0.30) ms,右耳Ⅰ波(1.96 ±0.22) ms比(1.97 ±0.27) ms,左耳Ⅲ波(4.79±0.23) ms比(4.85±0.28) ms,右耳Ⅲ波(4.78±0.24) ms比(4.77 ±0.31) ms,左耳Ⅴ波(7.10 ±0.24) ms比(7.12±0.33) ms,右耳Ⅴ波(6.76 ±0.32) ms比(7.04±0.39) ms,MR前后两耳各波潜伏期比较差异均无统计学意义(P均＞0.05).(2)峰间期:左耳Ⅰ-Ⅲ波峰间期(2.83 ±0.23) ms比(2.86 ±0.27)ms,右耳Ⅰ-Ⅲ波峰间期(2.82±0.24) ms比(2.80 ±0.17) ms,左耳Ⅲ-Ⅴ波峰间期(2.31 ±0.28) ms比(2.31±0.29) ms,右耳Ⅲ-Ⅴ波峰间期(2.26 ±0.27) ms比(2.26 ±0.23) ms;左耳Ⅰ-Ⅴ波峰间期(5.11 ±0.40) ms比(5.13 ±0.35) ms,右耳Ⅰ-Ⅴ波峰间期(5.07 ±0.39) ms比(5.07 ±0.36) ms,MR前后两耳各波峰间期比较差异均无统计学意义(P均＞0.05).结论 3.0T MR检查对患儿BAEP各指标无明显影响,可能对新生儿听力无明显影响.
目的 通過腦榦聽覺誘髮電位(BAEP)觀察新生兒在實施3.0T磁共振(MR)檢查後聽力傳導繫統的變化,探討3.0T MR是否對新生兒聽力繫統造成不良影響.方法 選取2013年8至12月入住北京軍區總醫院附屬八一兒童醫院足月新生兒鑑護中心行3.0T MR檢查的患兒49例,剔除可導緻聽力障礙的外耳髮育畸形等異常者.比較患兒在MR前後雙耳BAEP波Ⅰ、Ⅲ、Ⅴ的潛伏期以及峰間期的差異,採用SPSS 16.0軟件進行統計學分析.結果 MR檢查前後,BAEP各指標分彆為:(1)潛伏期:左耳Ⅰ波(1.96±0.22) ms比(1.95 ±0.30) ms,右耳Ⅰ波(1.96 ±0.22) ms比(1.97 ±0.27) ms,左耳Ⅲ波(4.79±0.23) ms比(4.85±0.28) ms,右耳Ⅲ波(4.78±0.24) ms比(4.77 ±0.31) ms,左耳Ⅴ波(7.10 ±0.24) ms比(7.12±0.33) ms,右耳Ⅴ波(6.76 ±0.32) ms比(7.04±0.39) ms,MR前後兩耳各波潛伏期比較差異均無統計學意義(P均＞0.05).(2)峰間期:左耳Ⅰ-Ⅲ波峰間期(2.83 ±0.23) ms比(2.86 ±0.27)ms,右耳Ⅰ-Ⅲ波峰間期(2.82±0.24) ms比(2.80 ±0.17) ms,左耳Ⅲ-Ⅴ波峰間期(2.31 ±0.28) ms比(2.31±0.29) ms,右耳Ⅲ-Ⅴ波峰間期(2.26 ±0.27) ms比(2.26 ±0.23) ms;左耳Ⅰ-Ⅴ波峰間期(5.11 ±0.40) ms比(5.13 ±0.35) ms,右耳Ⅰ-Ⅴ波峰間期(5.07 ±0.39) ms比(5.07 ±0.36) ms,MR前後兩耳各波峰間期比較差異均無統計學意義(P均＞0.05).結論 3.0T MR檢查對患兒BAEP各指標無明顯影響,可能對新生兒聽力無明顯影響.
목적 통과뇌간은각유발전위(BAEP)관찰신생인재실시3.0T자공진(MR)검사후은력전도계통적변화,탐토3.0T MR시부대신생인은력계통조성불량영향.방법 선취2013년8지12월입주북경군구총의원부속팔일인동의원족월신생인감호중심행3.0T MR검사적환인49례,척제가도치은력장애적외이발육기형등이상자.비교환인재MR전후쌍이BAEP파Ⅰ、Ⅲ、Ⅴ적잠복기이급봉간기적차이,채용SPSS 16.0연건진행통계학분석.결과 MR검사전후,BAEP각지표분별위:(1)잠복기:좌이Ⅰ파(1.96±0.22) ms비(1.95 ±0.30) ms,우이Ⅰ파(1.96 ±0.22) ms비(1.97 ±0.27) ms,좌이Ⅲ파(4.79±0.23) ms비(4.85±0.28) ms,우이Ⅲ파(4.78±0.24) ms비(4.77 ±0.31) ms,좌이Ⅴ파(7.10 ±0.24) ms비(7.12±0.33) ms,우이Ⅴ파(6.76 ±0.32) ms비(7.04±0.39) ms,MR전후량이각파잠복기비교차이균무통계학의의(P균＞0.05).(2)봉간기:좌이Ⅰ-Ⅲ파봉간기(2.83 ±0.23) ms비(2.86 ±0.27)ms,우이Ⅰ-Ⅲ파봉간기(2.82±0.24) ms비(2.80 ±0.17) ms,좌이Ⅲ-Ⅴ파봉간기(2.31 ±0.28) ms비(2.31±0.29) ms,우이Ⅲ-Ⅴ파봉간기(2.26 ±0.27) ms비(2.26 ±0.23) ms;좌이Ⅰ-Ⅴ파봉간기(5.11 ±0.40) ms비(5.13 ±0.35) ms,우이Ⅰ-Ⅴ파봉간기(5.07 ±0.39) ms비(5.07 ±0.36) ms,MR전후량이각파봉간기비교차이균무통계학의의(P균＞0.05).결론 3.0T MR검사대환인BAEP각지표무명현영향,가능대신생인은력무명현영향.
Objective To evaluate whether or not the 3.0T magnetic resonance (MR) scanner noise has adverse influence on neonatal hearing by using brainstem auditory evoked potentials(BAEP).Methods Forty-nine inpatients who received the MR examination were enrolled in this study from Aug.to Dec.2013,admitted to the Bayi Children's Hospital Affiliated to Beijing Military General Hospital.The Ⅰ,Ⅲ,Ⅴ wave latencies and the inter-peak intervals before and after the MR scan were compared by using SPSS 16.0 software.Results The BAEP results before and after MR examination respectively:(1) The latencies were:left ear Ⅰ wave (1.96 ± 0.22) ms vs (1.95 ± 0.30) ms,right ear Ⅰ wave (1.96 ± 0.22) ms vs (1.97 ± 0.27) ms,respectively; left ear Ⅲ wave (4.79 ± 0.23) ms vs (4.85 ± 0.28) ms,right earlllwave(4.78 ±0.24) ms vs (4.77 ±0.31) ms,respectively;left ear Ⅴ wave (7.10 ±0.24) ms vs (7.12 ±0.33) ms,right ear Ⅴ wave (6.76 ±0.32) ms vs (7.04 ±0.39) ms,respectively(allP ＞0.05).(2) The inter-peak intervals were:left ear Ⅰ-Ⅲ inter-peak interval (2.83 ± 0.23) ms vs (2.86 ± 0.27) ms,right ear Ⅰ-Ⅲ inter-peak interval (2.82 ± 0.24) ms vs (2.80 ± 0.17) ms,respectively ; left ear Ⅲ-Ⅴ inter-peak interval (2.31 ±0.28) ms vs (2.31 ±0.29) ms,right ear Ⅲ-Ⅴ inter-peak interval (2.26 ±0.27) ms vs (2.26 ±0.23) ms,respectively;left ear Ⅰ-Ⅴ inter-peak interval (5.11 ±0.40) ms vs (5.13 ±0.35) ms,right ear Ⅰ-Ⅴ inter-peak interval (5.07 ± 0.39) ms vs (5.07 ± 0.36) ms,respectively(all P ＞ 0.05).Conclusion The 3.0T MR may have no adverse influence on neonatal BAEP.
