重度极重度聋儿童不同刺激声ASSR与行为测听听阈的一致性及相关性分析

发布时间：2018-12-11 18:26

【摘要】：目的通过对比传统ASSR和NB-Chirp刺激声ASSR诱发阈同行为测听听阈的相关性,评价重度-极重度聋儿童中,不同刺激声ASSR在客观听阈评估中的价值。方法对重度-极重度聋儿童进行传统ASSR和NB-Chirp-ASSR检查(每组各30人60耳),两组儿童均进行行为测听检查,将ASSR的诱发阈和行为测听的听阈进行比较,分析NB-Chirp刺激声ASSR和传统ASSR同行为测听听阈一致性,对比两种不同刺激声ASSR同行为测听听阈的相关性。结果 NB-Chirp刺激声ASSR组和传统ASSR组的诱发阈同行为测听听阈的一致性均较好,前者91.67%,后者83.33%。传统ASSR组500Hz诱发阈、NB-Chirp ASSR 1000Hz、2000Hz及4000Hz诱发阈均与行为测听听阈存在中度相关,相关系数分别为0.62、0.53、0.56和0.51。其余频率呈低度相关。结论对于重度-极重度聋儿童,同传统ASSR相比,NB-Chirp ASSR能更好的反映纯音听阈。
[Abstract]:Objective to evaluate the value of different stimulatory sound ASSR in objective hearing threshold evaluation in children with severe to very severe deafness by comparing the correlation between ASSR evoked threshold of traditional ASSR and NB-Chirp stimulation sound. Methods traditional ASSR and NB-Chirp-ASSR examinations were performed in children with severe to very severe deafness (60 ears in each group). The evoked threshold of ASSR and the threshold of behavioral audiometry were compared between the two groups. To analyze the consistency between NB-Chirp stimulatory sound ASSR and traditional ASSR peer as auditory threshold, and to compare the correlation between two different stimulatory sound ASSR peers as auditory threshold. Results the conformance of auditory threshold in NB-Chirp stimulated ASSR group and traditional ASSR group was good, the former was 91.67 and the latter was 83.33. In the traditional ASSR group, 500Hz threshold, NB-Chirp ASSR 1000Hz 2000Hz and 4000Hz threshold were moderately correlated with the behavioral audiometry hearing threshold, the correlation coefficients were 0.62n0.53 and 0.51, respectively. The other frequencies were low correlation. Conclusion compared with traditional ASSR, NB-Chirp ASSR can better reflect pure tone hearing threshold in children with severe to very severe deafness.
【作者单位】：山东大学附属山东省立医院;山东省立医院集团眼耳鼻喉医院;山东省耳鼻喉医院;
【分类号】：R764.43

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