| 宁波市听力筛查阳性婴幼儿客观听力检测 |
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| 引用本文： | 沈安民,许军,陈淑飞,郑周数,徐明. 宁波市听力筛查阳性婴幼儿客观听力检测[J]. 疾病监测, 2009, 24(1): 63-66. DOI: 10.3784/j.issn.1003-9961.2009.01.021 |
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| 作者姓名： | 沈安民 许军 陈淑飞 郑周数 徐明 |
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| 作者单位： | 浙江省宁波大学医学院附属医院耳鼻咽喉科,浙江,宁波,315020;浙江省宁波大学医学院附属医院耳鼻咽喉科,浙江,宁波,315020;浙江省宁波大学医学院附属医院耳鼻咽喉科,浙江,宁波,315020;浙江省宁波大学医学院附属医院耳鼻咽喉科,浙江,宁波,315020;浙江省宁波大学医学院附属医院耳鼻咽喉科,浙江,宁波,315020 |
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| 摘 要： | 目的 探讨听性脑干反应（auditory brain stem response, ABR）和多频稳态诱发电位（auditory steady state response,ASSR）在听力筛查阳性婴幼儿听力诊断中的应用价值。方法 2005年8月至2007年10月期间宁波市新生儿畸变产物耳声发射（distortion product otoacoustic emission, DPOAE）听力筛查阳性者70例转诊至宁波市儿童听力诊断治疗中心进行听性脑干反应及多频稳态诱发电位测试,综合分析ABR及ASSR的测试结果。结果 70例婴幼儿（140耳）中ABR正常37耳, 轻度聋18耳, 中度聋21耳, 重度聋31耳和极重度聋33耳; 非极重度聋ASSR的2 kHz和4 kHz反应阈与ABR反应阈之间呈直线正相关关系（IP/I0.05）, 而ASSR的0.5 kHz和1 kHz反应阈与ABR反应阈之间无直线关系（IP/I0.05）。极重度聋0.5 kHz、1 kHz、2 kHz和4 kHz ASSR引出率分别为42.4%、57.6%、45.5%和48.5%,高于ABR的引出率21.2％（I/Isup2/sup=9.7408,IP/I=0.0450）。结论 听力筛查阳性婴幼儿的高载波频率ASSR与ABR存在良好的相关性,且ASSR具有频率特性及较高反应引出率而更适用于极重度聋婴幼儿残余听力的评估。
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| 关 键 词： | 听力筛查 诱发电位 听觉 脑干 多频稳态诱发反应 耳聋 |
| 收稿时间： | 2008-07-16 |
Auditory brain stem response and auditory steady state response in infants who failed hearing screening |
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| SHEN An-min,XU Jun,CHEN Shu-fei,ZHENG Zhou-shu,XU Ming. Auditory brain stem response and auditory steady state response in infants who failed hearing screening[J]. Disease Surveillance, 2009, 24(1): 63-66. DOI: 10.3784/j.issn.1003-9961.2009.01.021 |
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| Authors: | SHEN An-min XU Jun CHEN Shu-fei ZHENG Zhou-shu XU Ming |
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| Affiliation: | 1.Department of ENT, the Affiliated Hospital of Medical College of Ningbo University, Ningbo 315020, China |
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| Abstract: | Objective To evaluate the effect and advantages of auditory brain stem response （ABR） and auditory steady state response （ASSR） as a measure of the auditory diagnosis in infants who failed hearing screening. Methods Seventy infants failed hearing screening of distortion product otoaeoustie emission received routine audiological evaluations and analyses including ABR and ASSR. Results Among 70 infants （140 ears）, thirty-seven ears were found to be normal, and 18 ears were mild hearing loss, twenty-one ears were moderate hearing loss, thirty-one ears were severe hearing loss and 33 ears were profound hearing loss by ABR. Linear positive correlation was found between ABR threshold and the ASSR threshold at 2 kHz and 4 kHz （P〈0.05）. but not between ABR threshold and the ASSR threshold at 0.5 kHz and 1 kHz（P〉 0.05）, The rates of ASSR threshold detected at 0.5 kHz, 1 kHz, 2 kHz and 4 kHz in infants with profound hearing loss were 42.4%, 57.6%, 45.5% and 48.5% respectively, higher than that of ABR threshold （X^2=9.7408, P=0.0450）. Conclusion There was significant relationship between ASSR at high carrier frequency and ABR in infants who failed hearing screening, and ASSR may serve as a preferable objective measure for assessing the hearing threshold with frequency speciality and high detectability in infants with profound hearing loss. |
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| Keywords: | hearing screening evoked potentials auditory brain stem auditory steady state response deafness |
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