医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
7期
1298-1299,1300
,共3页
突聋%稳态诱发电位%纯音测听%听性脑干反应
突聾%穩態誘髮電位%純音測聽%聽性腦榦反應
돌롱%은태유발전위%순음측은%은성뇌간반응
Sudden deafness%Steady-state evoked responses%Pure tone audiometry test%Auditory brainstem responses
目的：探讨多频听觉稳态诱发反应（ ASSR）在突聋听力检查中的应用及其价值。方法选择2010年8月至2012年6月在长航总医院耳鼻咽喉科就诊并符合中华耳鼻咽喉科学会制订的突聋诊断依据的双耳突聋患者20例，上述患者在同一天内的安静或自然睡眠状态下分别进行 ASSR、听性脑干反应（ ABR）和纯音测听检查，分析 ASSR与纯音测听和 ABR 的相关性。结果0.5、1.0、2.0、4.0 kHz ASSR与纯音测听相关性分别为0.834、0.921、0.961、0.935。其中0.5 kHz ASSR 阈值与纯音测音阈值的差值在10～20 dB，其余频率差值在5～15 dB。除0.5 kHz 外，其他几个频率段ASSR与纯音测听结果均有较高的相关性（P＜0.05）。 ASSR与ClickABR的比较表明两种测试方法所得结果具有较高的相关性（P＜0.05）。结论 ASSR频率特异性好，刺激强度高，能同时测试左右耳共8个频率的听阈，是一种有较高临床应用价值的客观测听方法。 ASSR与纯音测听和ABR有极高的相关性，在突聋诊断和听力损失程度评定中有其应用价值。
目的：探討多頻聽覺穩態誘髮反應（ ASSR）在突聾聽力檢查中的應用及其價值。方法選擇2010年8月至2012年6月在長航總醫院耳鼻嚥喉科就診併符閤中華耳鼻嚥喉科學會製訂的突聾診斷依據的雙耳突聾患者20例，上述患者在同一天內的安靜或自然睡眠狀態下分彆進行 ASSR、聽性腦榦反應（ ABR）和純音測聽檢查，分析 ASSR與純音測聽和 ABR 的相關性。結果0.5、1.0、2.0、4.0 kHz ASSR與純音測聽相關性分彆為0.834、0.921、0.961、0.935。其中0.5 kHz ASSR 閾值與純音測音閾值的差值在10～20 dB，其餘頻率差值在5～15 dB。除0.5 kHz 外，其他幾箇頻率段ASSR與純音測聽結果均有較高的相關性（P＜0.05）。 ASSR與ClickABR的比較錶明兩種測試方法所得結果具有較高的相關性（P＜0.05）。結論 ASSR頻率特異性好，刺激彊度高，能同時測試左右耳共8箇頻率的聽閾，是一種有較高臨床應用價值的客觀測聽方法。 ASSR與純音測聽和ABR有極高的相關性，在突聾診斷和聽力損失程度評定中有其應用價值。
목적：탐토다빈은각은태유발반응（ ASSR）재돌롱은력검사중적응용급기개치。방법선택2010년8월지2012년6월재장항총의원이비인후과취진병부합중화이비인후과학회제정적돌롱진단의거적쌍이돌롱환자20례，상술환자재동일천내적안정혹자연수면상태하분별진행 ASSR、은성뇌간반응（ ABR）화순음측은검사，분석 ASSR여순음측은화 ABR 적상관성。결과0.5、1.0、2.0、4.0 kHz ASSR여순음측은상관성분별위0.834、0.921、0.961、0.935。기중0.5 kHz ASSR 역치여순음측음역치적차치재10～20 dB，기여빈솔차치재5～15 dB。제0.5 kHz 외，기타궤개빈솔단ASSR여순음측은결과균유교고적상관성（P＜0.05）。 ASSR여ClickABR적비교표명량충측시방법소득결과구유교고적상관성（P＜0.05）。결론 ASSR빈솔특이성호，자격강도고，능동시측시좌우이공8개빈솔적은역，시일충유교고림상응용개치적객관측은방법。 ASSR여순음측은화ABR유겁고적상관성，재돌롱진단화은력손실정도평정중유기응용개치。
Objective To discuss on the application and value of multiple auditory steady-state respon-ses(ASSR) in audio acuity test for sudden deafness.Methods Twenty patients who were diagnosed as bin-aural sudden deaf according to the diagnostic criteria made by Chinese Society of Otorhinolaryngology of the Chinese Medical Association in Yangtze River Shipping General Hospital from Aug .2010 to Jun.2012 were tested with pure tone audiometry test,ASSR and Click auditory brainstem response(ClickABR),when they were quiet or sleeping naturally in same day.The correlation of ASSR with ABR and pure tone audiometry test was analyzed.Results Comparison of ASSR and pure tone audiometry test thresholds at 0.5,1.0,2.0, 4.0 kHz were 0.834,0.921,0.961 and 0.935 respectively(P<0.05).At 0.5 kHz,the difference was 10-20 dB,while in other carrier frequencies,the differences were 5-15 dB.Results of ASSR and ClickABR showed high correlation with each other,which indicated ASSR could evaluate the function of the hearing as well as ClickABR(P<0.05).Conclusion ASSR has good frequency-specificity,with high stimulus inten-sity,it can obtain 8 frequencies at both ears simultaneously.Therefore,it is a promising objective audiometry method.ASSR is highly correlated with pure tone audiometry test and ABR ,and has great value in the diag-nosis and hearing loss evaluation of sudden deafness.
