CAJ | 학술논문

目的探讨多种客观听力检测方法在婴儿听力评估中的应用.方法采用听性脑干反应、40 Hz听觉相关电位或听觉稳态反应、畸变产物耳声发射及鼓室声导抗等方法,对初筛和复筛未通过的200例(400耳)婴儿进行了听力测试,并对测试结果进行对比分析.结果400耳中各项结果均正常77耳(19.25%),一项或一项以上检查异常323耳(80.75%).检查异常的323耳中传导性听力损失59耳(18.27%),感音神经性听力损失172耳(53.25%),混合性听力损失92耳(28.48%).接受听性脑干反应测试的400耳中,正常199耳(49.75%),异常201耳(50.25%).以听性脑干反应阈值评估听力损失程度,轻度96耳(47.76%),中度29耳(14.43%),重度22耳(10.95%),极重度54耳(26.86%).接受40 Hz听觉相关电位测试的184耳中,正常52耳(28.26%),异常132耳(71.74%).以40 Hz听觉相关电位反应阈值评估听力损失程度,轻度68耳(51.51%),中度34耳(25.76%),重度14耳(10.61%),极重度16耳(12.12%).接受听觉稳态反应测试的216耳中,正常62耳(28.70%),异常154耳(71.30%).接受畸变产物耳声发射测试的400耳中,正常114耳(28.50%),异常286耳(71.50%).接受鼓室声导抗测试的400耳中,正常310耳(77.50%),异常90耳(22.50%).结论多种客观听力检测方法的联合运用,对判断婴儿听力损失的程度和性质有一定帮助,可为早期干预提供依据.
목적탐토다충객관은력검측방법재영인은력평고중적응용.방법채용은성뇌간반응、40 Hz은각상관전위혹은각은태반응、기변산물이성발사급고실성도항등방법,대초사화복사미통과적200례(400이)영인진행료은력측시,병대측시결과진행대비분석.결과400이중각항결과균정상77이(19.25%),일항혹일항이상검사이상323이(80.75%).검사이상적323이중전도성은력손실59이(18.27%),감음신경성은력손실172이(53.25%),혼합성은력손실92이(28.48%).접수은성뇌간반응측시적400이중,정상199이(49.75%),이상201이(50.25%).이은성뇌간반응역치평고은력손실정도,경도96이(47.76%),중도29이(14.43%),중도22이(10.95%),겁중도54이(26.86%).접수40 Hz은각상관전위측시적184이중,정상52이(28.26%),이상132이(71.74%).이40 Hz은각상관전위반응역치평고은력손실정도,경도68이(51.51%),중도34이(25.76%),중도14이(10.61%),겁중도16이(12.12%).접수은각은태반응측시적216이중,정상62이(28.70%),이상154이(71.30%).접수기변산물이성발사측시적400이중,정상114이(28.50%),이상286이(71.50%).접수고실성도항측시적400이중,정상310이(77.50%),이상90이(22.50%).결론다충객관은력검측방법적연합운용,대판단영인은력손실적정도화성질유일정방조,가위조기간예제공의거.
@@@@Objective To explore the application of multiple objective hearing tests in the hearing assessment in infants. Methods Two hundred infants who failed in the initial and secondary hearing screening received the follow-up examinations, including auditory brainstem response(ABR), 40 Hz auditory evoked related potential (40 Hz AERP)or auditory steady-state response (ASSR), distortion product otoacoustic emission(DPOAE) and acoustic impedance test. The test results were compared and analyzed. Results Of 400 ears, 77 ears (19.25%) had normal hearing and 323 ears (80.75%) were abnormal in one or more tests. Among the 323 ears,59 ears(18.27%) had conductive hearing loss,172 ears (53.25%) sensorineural hearing loss and 92 ears(28.48%)mixed hearing loss. 400 ears received ABR test and 201 ears (50.25%) failed. According to the ABR results, 96(47.76%),29(14.43%),22(10.95%)and 54(26.86%) ears were found to have mild, moderate, severe and profound hearing loss. 184 ears received 40 Hz AERP test and 132 ears (71.74%) failed. According to the 40 Hz AERP results, 68(51.51%), 34(25.76%), 14(10.61%) and 16(12.12%) were found to have mild, moderate, severe and profound hearing loss. 216 ears received ASSR test and154 ears (71.30%) failed. 400 ears received DPOAE test and 286 ears (71.50%) failed. 400 ears received acoustic impedance test and 90 ears (22.50%) failed. Conclusion The combined use of multiple objective hearing tests can help assess the type and degree of infant hearing loss more accurately and provide references for early intervention.