探讨脑干听觉诱发电位（BAEP）在颅脑损伤（TBI）合并听力障碍患者快速康复中的意义。

回顾性分析湖州市第一人民医院神经外科自2019年7月至2020年12月收治的TBI合并听力障碍患者的临床资料，并根据BAEP分级将患者分为非神经性损伤组、周围性神经损伤组和中枢性神经损伤组，评价听力损伤情况、神经功能缺损程度，分析脑干听觉诱发电位分级与患者听力损伤的相关性。

共入组81例TBI合并听力障碍患者，其中非神经性损伤组34例，周围性神经损伤组25例，中枢性神经损伤组22例。3组患者GCS评分比较差异有统计学意义（P<0.05）。中枢性神经损伤组患者的听力功能下降最明显，周围性神经损伤组次之。BAEP分级与NIHSS评分呈正相关（r=0.796，P<0.001）。

BAEP可检测TBI患者的听力功能及脑损伤程度，分级越高，听力功能损伤越重，患者面临的康复工作也越困难。BAEP可为患者早期诊疗、加速康复方案以及相应护理策略提供科学合理的神经电生理依据，根据BAEP分级制定个性化加速康复方案有利于为后续诊疗护理奠定基础。

To explore the significance of brainstem auditory evoked potential (BAEP) in the rapid recovery of patients with traumatic brain injury (TBI) combined with hearing impairment.

The clinical data of patients with TBI combined with hearing impairment treated in the Department of Neurosurgery of Huzhou First People’s Hospital from July 2019 to December 2020 were retrospectively analyzed, and the patients were divided into non-neurotic damage group, peripheral nerve damage group and central nerve damage group according to BAEP classification. The hearing impairment and neurological deficits were evaluated, and the correlation between brainstem auditory evoked potential classification and hearing impairment was analyzed.

A total of 81 TBI patients with hearing impairment were enrolled, of which 34 were in the non-neurological damage group, 25 were in the peripheral nerve damage group, and 22 were in the central nerve damage group. The GCS scores of the three groups had statistically significant differences (P<0.05). The hearing loss of patients in the central nerve damage group was the most obvious, followed by the peripheral nerve damage group. BAEP grade was positively correlated with NIHSS score (r=0.796, P<0.001).

BAEP can detect the hearing function and the degree of brain damage in patients with TBI. The higher the grade, the more severe the hearing damage and the more difficult the rehabilitation work faced by the patient. BAEP can provide scientific and reasonable neuro-electrophysiological basis for early diagnosis and treatment of patients, accelerated rehabilitation programs and corresponding nursing strategies. The development of personalized accelerated rehabilitation programs according to BAEP classification is beneficial to lay the foundation for subsequent diagnosis and treatment.