고빌리루빈혈증 환아에서 청성뇌간유발반응을 이용한 청력 고찰

조용희; 오재호; 이동원; 정재호; 박철원; 이승환

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자료유형: 학술저널

저자정보: 조용희 오재호 이동원 정재호 박철원 이승환

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제56권 제8호

발행연도: 2013.1

수록면: 490 - 494 (5page)

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이 논문의 연구 히스토리 (2)

2013

고빌리루빈혈증 환아에서 청성뇌간유발반응을 이용한 청력 고찰

조용희 의학과 2013.01 학위논문

고빌리루빈혈증 환아에서 청성뇌간유발반응을 이용한 청력 고찰

조용희 , 오재호 , 이동원 외 3명 대한이비인후-두경부외과학회지 2013.01 학술저널

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Background and Objectives Neonatal hyperbilirubinemia is one of the important causative factors of sensorineural hearing loss including auditory neuropathy. The auditory brain stem response (ABR) is widely used as a screening or diagnostic tool for newborn hearing loss. This study aimed to analyze serial ABR results of newborns with severe hyperbilirubinemia. Subjects and Method This study examined 120 full term infants treated for hyperbilirubinemia in the neonatal intensive care unit. The first ABR was performed within one month after birth. Follow-up tests were conducted in patients with abnormal results (25 cases). The control group was composed of 21 healthy newborns who passed the newborn hearing screening. Results The mean ABR threshold was higher in the newborns with hyperbilirubinemia than in the control group (43.8 dB nHL versus 30.0 dB nHL, p＜0.001). Of the 25 newborns who underwent follow-up ABR, 15 newborns demonstrated recovery of the hearing threshold up to 30 dB nHL. The hearing threshold did not improve below 50 dB nHL for five newborns, of whom one was diagnosed with auditory neuropathy spectrum disorder. There was no difference in the mean ABR interwave latency between newborns with hyperbilirubinemia and the control group. Conclusion Neonates with hyperbilirubimenia might suffer transient or permanent hearing loss. Serial ABR tests might be essential for the diagnosis of sensorineural hearing loss in patients with neonatal hyperbilirubinemia.

#Auditory brainstem response #Hearing loss #Neonatal jaundice.

참고문헌 (20)

참고문헌 신청

American Academy of Pediatrics, Joint Committee on Infant Hearing / 2007 / Year 2007 position statement: principles and guidelines for early hearing detection and interventi

Berlin CI / 2001 / On renaming auditory neuropathy as auditory dys-synchrony / Audiology Today 13 : 15 ~ 17

Berlin CI / 2003 / Auditory neuropathy/dyssynchrony: its diagnosis and management / Pediatr Clin North Am 50 (2) : 331 ~ 340

Chang SO / 2000 / Distortion product and spontaneous otoacoustic emissions in normal neonates / Korean J Otolaryngol 43 (4) : 363 ~ 368

Erenberg A / 1999 / Newborn and infant hearing loss: detection and intervention. American Academy of Pediatrics. Task Force on Newborn and Infant Hearing, 1998-1999 / Pediatr