DPOAE未通过新生儿声导抗与耳镜检查结果分析

发布时间：2018-05-14 05:02

本文选题：新生儿 + 耳声发射　；参考：《中华耳科学杂志》2015年04期

【摘要】：目的通过对DPOAE未通过新生儿,用226Hz及1000Hz不同探测音声导抗与耳镜检查的结果分析,探讨不同探测音声导抗在评价新生儿中耳功能中的应用价值。方法随机抽取DPOAE未通过的新生儿71例(120耳),分别进行226Hz、1000Hz探测音的声导抗检查,绘制鼓室导抗图,同时对该120耳行硬性耳内镜检查,对其结果进行比较分析。结果 120耳中硬性耳内镜检查正常79耳,异常41耳,异常率为34.17%,行226Hz探测音声导抗,鼓室导抗图正常图形104耳,异常图形16耳,异常比率13.33%,行1000Hz探测音声导抗,鼓室导抗图正常图形73耳,异常图形47耳,异常比率为39.17%,比较耳内镜异常率与226Hz探测音声导抗图形异常率差异有统计学意义(P0.05),耳内镜异常率与1000Hz探测音声导抗图形异常率差异无统计学意义(P0.05)。结论在新生儿中,高频探测音与耳内镜检查的相关性更大,1000Hz探测音对中耳疾病的诊断更敏感。
[Abstract]:Objective to explore the application value of different probe acoustic impedance in the evaluation of neonatal middle ear function by analyzing the results of different detection of acoustic conductance by 226Hz and 1000Hz in newborns without DPOAE. Methods 71 cases of newborns without DPOAE were randomly selected for acoustic impedance examination of 226Hz / 1000Hz detecting tone, and the tympanic impedance graph was drawn. The results were compared and analyzed by hard otoendoscopy. Results in 120 ears, 79 ears were normal, 41 ears were abnormal, and the abnormal rate was 34.17. 226Hz was used to detect acoustic impedance, tympanic impedance graph was used in 104 ears, abnormal figure was 16 ears, abnormal rate was 13.33, and 1000Hz was used to detect acoustic impedance. The normal figure of tympanogram was 73 ears, and the abnormal figure was 47 ears. The abnormal rate was 39.17. There was significant difference between the abnormal rate of endoscope and the abnormal rate of acoustic impedance pattern detected by 226Hz. There was no significant difference between abnormal rate of endoscope and abnormal figure of acoustic impedance detected by 1000Hz (P 0.05). Conclusion in neonates, the correlation between high frequency detecting sounds and endoscopy is more sensitive to the diagnosis of middle ear diseases.
【作者单位】：郑州市儿童医院耳鼻喉科;
【分类号】：R764.04

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