CAJ | 학술논문

目的分析未通过瞬态诱发性耳声发射（TEOAE）听力初筛新生儿的1000 Hz声导抗特点。方法采用GSI-70型自动耳声发射听力筛查仪对新疆自治区人民医院及乌鲁木齐市妇幼保健院出生的新生儿进行听力初筛，同时采用GSI TympStar Version Ⅱ中耳分析仪进行中耳功能测试，收集1000 Hz鼓室导抗图及相关指标，包括鼓室图峰压（the pressure of the peak admittance ，Tpp）、峰声导纳值（peak admittance ，Yp），峰补偿静态声导纳值（Peak compensated static admittance ，Ypc），鼓室导抗图宽度（tympanometric width ，TW）。对听力初筛未通过的47耳（未通过组）和通过的1300耳（通过组）的鼓室导抗图分型及单峰型声导纳图各指标进行比较。结果1000 Hz鼓室导抗图分型中，未通过组单峰型声导纳图比例（59．57％）显著低于通过组（74．00％），而未通过组平坦型声导纳图比例（23．40％）显著高于通过组（8．54％）；通过组单峰型、双峰型声导纳图比例明显高于未通过组，平坦型声导纳图的比例低于未通过组（均为 P＜0．05）。两组间单峰型声导纳图的各指标比较差异无统计学意义。结论 TEOAE听力初筛通过的新生儿1000 Hz声导纳图以单峰型为主，而未通过的新生儿单峰型所占比例较低，平坦型比例高。
목적분석미통과순태유발성이성발사（TEOAE）은력초사신생인적1000 Hz성도항특점。방법채용GSI-70형자동이성발사은력사사의대신강자치구인민의원급오로목제시부유보건원출생적신생인진행은력초사，동시채용GSI TympStar Version Ⅱ중이분석의진행중이공능측시，수집1000 Hz고실도항도급상관지표，포괄고실도봉압（the pressure of the peak admittance ，Tpp）、봉성도납치（peak admittance ，Yp），봉보상정태성도납치（Peak compensated static admittance ，Ypc），고실도항도관도（tympanometric width ，TW）。대은력초사미통과적47이（미통과조）화통과적1300이（통과조）적고실도항도분형급단봉형성도납도각지표진행비교。결과1000 Hz고실도항도분형중，미통과조단봉형성도납도비례（59．57％）현저저우통과조（74．00％），이미통과조평탄형성도납도비례（23．40％）현저고우통과조（8．54％）；통과조단봉형、쌍봉형성도납도비례명현고우미통과조，평탄형성도납도적비례저우미통과조（균위 P＜0．05）。량조간단봉형성도납도적각지표비교차이무통계학의의。결론 TEOAE은력초사통과적신생인1000 Hz성도납도이단봉형위주，이미통과적신생인단봉형소점비례교저，평탄형비례고。
Objective To investigate the clinical characteristic of 1 000 Hz probe tone tympanometry obtained from neonates who didn’t pass the TEOAE screening . .Methods TEOAE screening were performed to screen the hearing with GSI -70 Automated OAE(Grason-Stadler ,USA) .Then neonates were detected the 1 000 Hz probe tone tympanograms by GSI Tympstar Version Ⅱ Middle Ear Analyzer(Grason-Stadler ,USA) .The relative infor-mation ,including tympanometric peak pressure (Tpp) ,peak admittance(Yp) ,peak compensated static acoustic ad-mittance (Ypc)、tympanometric width(TW) were collatea .The of 1 000 Hz probe tone tympanometry of 47 ears that didn’t pass the first TEOAE and 1 300 ears that passed the first TEOAE were asnpared .Results We found in the single-peak type ,the ratio of the experimental group(59 .57% ) was less than that of the control group(74 .00% ) , and in the flat type the ratio of the the experimental group (23 .40% ) was more than that of the control group (8 . 54% ) ,there was a statistical significance between the two groups in each different type proportion (P<0 .05) .But there is not a statistical significance in the relative values of single -peak type admittance between the two groups , such as tympanometric peak pressure (Tpp)、peak admittance(Yp) etc .Conclusion The majority of 1000Hz tympa-nograms of the neonates who passed TEOAE is the single -peak type ,but the neonates who didn’t pass the first TEOAE mostly shored the flat type The .