医学信息
醫學信息
의학신식
Medical Information
2015年
35期
38-38
,共1页
翁美玲%徐洁%李年琼%姚红兵
翁美玲%徐潔%李年瓊%姚紅兵
옹미령%서길%리년경%요홍병
听性脑干反应%骨导%先天性外耳道闭锁
聽性腦榦反應%骨導%先天性外耳道閉鎖
은성뇌간반응%골도%선천성외이도폐쇄
Click auditory brain stem response%Bone conduction%Congenital atresia of air
目的：分析先天性外耳道闭锁小儿气、骨导短音诱发的听性脑干反应(click auditory brain stem response,click-ABR)结果,评估外耳道闭锁小儿气、骨导阈值及与年龄的关系。方法选取我院2013年1月~12月的年龄为0~3岁外耳道闭锁小儿46例60耳(其中单耳32例,双耳14例),将其按年龄分三组(0~岁,1~岁,2~3岁)进行短声气、骨导ABR检测,对检测结果进行统计学分析。结果0~岁组气、骨导ABR反应阈值分别为(80.52依8.3)dBnHL和(9.87依3.23)dBnHL,30 dBnHL刺激强度下骨导ABR波V潜伏期(7.85依0.33)ms,100 dBnHL刺激强度下气导ABR波V潜伏期(6.87依0.23)ms；1~岁组气、骨导ABR反应阈值分别为(78.3依9.32)dBnHL和(9.63依2.35)dBnHL,30 dBnHL刺激强度下骨导ABR潜伏期(7.53依0.32)ms,100 dBnHL刺激强度下气导ABR波V潜伏期(6.34依0.3)ms；2~3岁组气、骨导ABR反应阈值分别为(72.35依7.65)dBnHL和(9.67依2.4)dBnHL,30dBnHL刺激强度下骨导ABR潜伏期(7.23依0.25)ms,100 dBnHL刺激强度下气导ABR波V潜伏期(5.58依0.25)ms。三组小儿气导ABR在随着年龄增长阈值上升,骨导ABR反应阈值无显著变化。结论骨导ABR阈值与先天性外耳道闭锁患儿年龄无关,可以用于评估先天性外耳道闭锁小儿听力情况。
目的：分析先天性外耳道閉鎖小兒氣、骨導短音誘髮的聽性腦榦反應(click auditory brain stem response,click-ABR)結果,評估外耳道閉鎖小兒氣、骨導閾值及與年齡的關繫。方法選取我院2013年1月~12月的年齡為0~3歲外耳道閉鎖小兒46例60耳(其中單耳32例,雙耳14例),將其按年齡分三組(0~歲,1~歲,2~3歲)進行短聲氣、骨導ABR檢測,對檢測結果進行統計學分析。結果0~歲組氣、骨導ABR反應閾值分彆為(80.52依8.3)dBnHL和(9.87依3.23)dBnHL,30 dBnHL刺激彊度下骨導ABR波V潛伏期(7.85依0.33)ms,100 dBnHL刺激彊度下氣導ABR波V潛伏期(6.87依0.23)ms；1~歲組氣、骨導ABR反應閾值分彆為(78.3依9.32)dBnHL和(9.63依2.35)dBnHL,30 dBnHL刺激彊度下骨導ABR潛伏期(7.53依0.32)ms,100 dBnHL刺激彊度下氣導ABR波V潛伏期(6.34依0.3)ms；2~3歲組氣、骨導ABR反應閾值分彆為(72.35依7.65)dBnHL和(9.67依2.4)dBnHL,30dBnHL刺激彊度下骨導ABR潛伏期(7.23依0.25)ms,100 dBnHL刺激彊度下氣導ABR波V潛伏期(5.58依0.25)ms。三組小兒氣導ABR在隨著年齡增長閾值上升,骨導ABR反應閾值無顯著變化。結論骨導ABR閾值與先天性外耳道閉鎖患兒年齡無關,可以用于評估先天性外耳道閉鎖小兒聽力情況。
목적：분석선천성외이도폐쇄소인기、골도단음유발적은성뇌간반응(click auditory brain stem response,click-ABR)결과,평고외이도폐쇄소인기、골도역치급여년령적관계。방법선취아원2013년1월~12월적년령위0~3세외이도폐쇄소인46례60이(기중단이32례,쌍이14례),장기안년령분삼조(0~세,1~세,2~3세)진행단성기、골도ABR검측,대검측결과진행통계학분석。결과0~세조기、골도ABR반응역치분별위(80.52의8.3)dBnHL화(9.87의3.23)dBnHL,30 dBnHL자격강도하골도ABR파V잠복기(7.85의0.33)ms,100 dBnHL자격강도하기도ABR파V잠복기(6.87의0.23)ms；1~세조기、골도ABR반응역치분별위(78.3의9.32)dBnHL화(9.63의2.35)dBnHL,30 dBnHL자격강도하골도ABR잠복기(7.53의0.32)ms,100 dBnHL자격강도하기도ABR파V잠복기(6.34의0.3)ms；2~3세조기、골도ABR반응역치분별위(72.35의7.65)dBnHL화(9.67의2.4)dBnHL,30dBnHL자격강도하골도ABR잠복기(7.23의0.25)ms,100 dBnHL자격강도하기도ABR파V잠복기(5.58의0.25)ms。삼조소인기도ABR재수착년령증장역치상승,골도ABR반응역치무현저변화。결론골도ABR역치여선천성외이도폐쇄환인년령무관,가이용우평고선천성외이도폐쇄소인은력정황。
Objective Analyze the result of air-and bone-conduction evoked click-ABR in children with congenital external auditory canal atresia;Assess the relationship between age and threshold of air-and bone-conduction evoked click-ABR.Methods Step 1 Sample 46 children with congenital malformation of external ear (,aged 0~3 years old from January 2013 to December 2013.Step 2 Split the cases into three groups by age (0,1,2~3).Exam respectively with air-and bone conduction ABR.Step 3 Analyze the result statistical y.Results The data of the air-conduction reaction threshold is (80.52±3.23)dBnHL of the children aged 0~1;(78.3±9.32)dBnHL of the children aged1-2;(72.35±7.65)dBnHL of the children aged 2~3. the same age groups,the data of the bone-conduction reaction threshold is(9.87±3.23)dBnHL of the children aged 0~1;(9.63±2.35)dBnHL of the children aged1-2;(9.67+2.4)dBnHL of the children aged 2~3;.and the fol owing is the data of the air-conduction ABR v wave latency under 30 dBnHL stimulation:children of 0~1(7.85±0.33)ms;children of 1~2(7.53±0.32)ms;children of 2~3(7.23±0.25)ms.And the bone-conduction ABR v wave latency under 100dBn HL stimulation has the fol owing data:(6.87±0.23)ms of the children aged 0~1;and children of 1-2 (6.34+0.3)ms;children of 2-3 (5.58±0.25)ms.Air conduction ABR threshold increases with age and bone conduction ABR threshold is not af ected by the change of age. Conclusion Value of Bone conduction ABR threshold is not statistical y cor elated to the age of patience and thus can be used to assess the patience's hearing.
