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目的调查中枢性协调障碍患儿听神经通路损伤情况,探讨其听神经通路损伤的高危因素,为防治提供参考依据。方法回顾性调查846例住院中枢性协调障碍患儿病历资料,了解听神经通路的损伤情况,分析其高危因素。结果有197例有听神经通路损伤,发生率为23.3%,以周围性听神经通路损伤为主,病理性黄疸(OR=1.721)和宫内感染(OR=2.166)是听神经通路损伤的高度危险因素。结论中枢性协调障碍患儿听神经通路损伤较高,要注意新生儿期病理性黄疸的预防和治疗及避免母孕期宫内感染。
Objective To investigate the auditory nerve access injury in children with central coordination disorders and to explore the risk factors of auditory nerve access injury in order to provide reference for prevention and treatment. Methods A retrospective survey of 846 cases of hospitalized children with central coordination disorders records to understand the damage of the auditory nerve access, analysis of its risk factors. Results There were 197 cases of auditory nerve injury, the incidence rate was 23.3%. The pathological jaundice (OR = 1.721) and intrauterine infection (OR = 2.166) were the high risk factors of auditory nerve injury. Conclusions Children with central coordination disorders have higher damage to the auditory nerve pathway. Pay attention to the prevention and treatment of neonatal pathological jaundice and avoid intrauterine infection during pregnancy.