听性稳态反应与听性脑干反应阈值的比较

目的:通过比较同一组聋儿听性脑干反应(ABR)和听性稳态反应(ASSR)的反应阈值,对ASSR的临床应用价值作出评价。方法:分别记录65例年龄在2.5个月~5.5岁聋儿的ABR及ASSR结果并进行比较及相关分析。结果:本组聋儿ABR反应阈值左右耳分别为(85.82±12.39)和(82.70±14.93)dB nHL;ASSR 4个测试频率的反应阈值左耳为(86.91±16.70)(、90.32±16.11)、(91.02±16.58)、(89.80±17.08)dB HL,右耳为(85.15±18.16)(、89.32±17.76)(、90.41±18.87)(、85.15±17.03)dB HL。ASSR 4个测试频率的反应阈值与ABR结果的相关系数分别为左耳0.622、0.721、0.757、0.714和右耳0.613、0.732、0.795、0.739。结论:ASSR与ABR测试结果有显著的相关性,而ASSR所获得的是分频资料,因此这种测试方法有较高的临床应用价值。

The thresholds comparison of auditory steady-state responses and auditory brain-stem response

OBJECTIVE: To compare the thresholds of auditory brainstem response (ABR)and auditory steady-state responses (ASSR) in the same group of deaf children and give a clinical evaluation for ASSR after that. METHOD: Both kinds of thresholds have been recorded and analyzed of these deaf children. RESULT: The ABR thresholds are (85.82 +/- 12.39) and (82.70 +/- 14.93) dB nHL for left and right ears. At four testing frequencies of ASSR, the thresholds are (86.91 +/- 16.70), (90.32 +/- 16.11), (91.02 +/- 16.58), (89.80 +/- 17.08) and (85.15 +/- 18.16), (89.32 +/- 17.76), (90.41 +/- 18.87), (85.15 +/- 17.03) dB HL for left and right ears. The correlation coefficients between the ASSR and ABR of left and right ears are 0.622, 0.721, 0.757, 0.714 and 0.613, 0.732, 0.795, 0.739 at these frequencies respectively. These results showed significant correlation exiting. CONCLUSION: Reliable and frequency specific results could be obtained by ASSR so that it could be as a promising audiometry in clinic.