足月正常新生儿自发性耳声发射特性分析

发布时间：2018-02-16 12:02

本文关键词： 足月新生儿自发性耳声发射听力筛查　出处：《听力学及言语疾病杂志》2015年02期 　论文类型：期刊论文

【摘要】：目的探讨足月新生儿自发性耳声发射(spontaneous otoacoustic emission,SOAE)的特性。方法采用丹麦尔听美公司Capella全功能耳声发射仪,对147例(236耳)通过瞬态诱发耳声发射(TEOAE)筛查的足月新生儿进行SOAE测试,分析SOAE的检出率、反应幅值、反应峰值以及频率分布特性。结果 1147例236耳中,SOAE总检出率为56.77%(134/236),其中女婴检出率69.23%(90/130)明显高于男婴(41.51%,44/106)(P0.05),右耳检出率(64.17%,77/120)明显高于左耳(49.14%,57/116)(P0.05)。2SOAE平均幅值为11.78±8.36dB SPL,其中男婴11.73±8.25dB SPL,女婴11.81±8.43dB SPL;左耳11.97±8.56dB SPL,右耳11.65±8.22dB SPL;无性别和耳间差异(P0.05)。3SOAE频率集中分布于3 212~3 718 Hz,其中男婴2 930~3 409Hz,女婴3 353~3 863Hz;左耳3 212~3 718Hz,右耳3 151~3 638Hz;男婴的频率分布低于女婴(P0.01)。4SOAE反应峰值均数为3.70±2.75个/耳,其中男婴3.86±2.87个/耳,女婴3.62±2.70个/耳;左耳3.70±3.02个/耳,右耳3.70±2.55个/耳;无性别和耳间差异(P0.05)。结论足月新生儿SOAE检出率女婴高于男婴,右耳高于左耳,频率分布趋于高频,反应呈现多峰的特点,并且检出率及频率分布特性在女婴中更明显。
[Abstract]:Objective to investigate the characteristics of spontaneous otoacoustic emission (otoacoustic emission) in full-term neonates. Methods SOAE tests were performed on 147 full-term newborns screened by transient evoked otoacoustic emission (TEOAE) using the Capella full-function otoacoustic emission instrument of Danerme Company. The detection rate and response amplitude of SOAE were analyzed. Results the total detectable rate of SOAE in 236 ears of 1147 cases was 134 / 236m, of which the detection rate of female infants was significantly higher than that of male infants (41.51% 106V P 0.05) and right ear gyrus (64.1777 / 120). The average amplitude of SOAE was 11.78 卤8.36 dB SPLA, 11.73 卤8.25 dB for males, 11.73 卤8.25 dB for males, and 11.78 卤8.36 dB for males, respectively. The frequencies of SPL 11.81 卤8.43dB, SPLL 11.97 卤8.56dB, SPL11.65 卤8.22dB in left ear and SPL11.65 卤8.22dB in right ear were not significantly different between the two ears (P 0.05). 3SOAE was distributed in 3 2123718Hz. among them, the frequency of male infants was 2 930U 3 409Hzand female baby 3 3533863Hz. the frequency distribution of male infants was lower than that of female infants (P0.01o.4SOAE = 3.70 卤2.75 ears), and the frequency distribution of male infants was lower than that of female infants (P 0.01o.4SOAE = 3.70 卤2.75). Among them, 3.86 卤2.87 / ear for male, 3.62 卤2.70 / ear for female, 3.70 卤3.02 for left ear and 3.70 卤2.55 / ear for right ear, there is no difference between sex and ear (P0.05). Conclusion the detection rate of SOAE in full-term neonates is higher than that in male infants, and in right ear is higher than that in left ear, and the frequency distribution tends to be high frequency. The response was characterized by multiple peaks, and the detection rate and frequency distribution were more obvious in female infants.
【作者单位】：首都医科大学附属北京同仁医院北京市耳鼻咽喉科研究所耳鼻咽喉头颈科学教育部重点实验室(首都医科大学);北京市上地医院;
【基金】：卫生公益性行业科研专项基金(201202005) 首都临床特色应用研究专项基金(Z131107002213123) 首都医学发展科研基金项目(2009-1049) 首都医科大学基础临床合作基金(12JL07)联合资助
【分类号】：R764.04

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