Tb-ABR和ASSR在小儿听力评估中的应用

发布时间：2018-05-27 13:20

本文选题：短纯音听觉脑干诱发电位 + 听性稳态反应　；参考：《临床耳鼻咽喉头颈外科杂志》2015年10期

【摘要】：目的:观察短纯音听觉脑干诱发电位(Tb-ABR)与多频稳态听觉诱发反应(ASSR)的反应阈值与行为测听(BA)阈值的相关性,探讨Tb-ABR和ASSR在小儿听力评估中的准确性及应用价值。方法:回顾性分析2014-01-2014-12期间于郑州大学第一附属医院行听力学检查的儿童76例(123耳),其中听力正常儿童23例(46耳)为A组,轻-中度感音神经性聋儿27例(32耳)为B组,重-极重度感音神经性聋儿26例(45耳)为C组,在0.5、1.0、2.0、4.0kHz 4个频率上行Tb-ABR、ASSR、BA听阈测试,并对结果进行统计学分析。结果:1C组在0.5~4.0kHz 4个频率上,Tb-ABR、ASSR、BA可分别测得132、144、152个反应阈值,Tb-ABR加ASSR加BA共测得166个反应阈值。2A、B、C 3组Tb-ABR、ASSR反应阈值与BA阈值在0.5~4.0kHz均呈线性相关,A组相关系数分别为0.76、0.82、0.87、0.91;0.52、0.57、0.67、0.64,B组相关系数分别为0.89、0.95、0.98、0.95;0.74、0.82、0.87、0.90,C组相关系数分别为0.91、0.90、0.92、0.89;0.93、0.95、0.95、0.91。结论:1听力测试组合(Tb-ABR+ASSR+BA)能为听力损失更重的患儿进行残余听力的评估。2ASSR和Tb-ABR在不同听力水平测试中各具优缺点,听力正常及轻-中度感音神经性聋患儿中,Tb-ABR反应阈值与BA阈值相关性高;重-极重度感音神经性聋儿童中,ASSR反应阈值与BA阈值相关性高。
[Abstract]:Objective: to observe the correlation between the response threshold of short tone auditory brainstem evoked potential (Tb-ABR) and multi-frequency steady-state auditory evoked response (ASSRs) and the threshold of behavioral audiometry, and to explore the accuracy and application value of Tb-ABR and ASSR in the assessment of children's hearing. Methods: a retrospective analysis of 76 children with 123 ears who underwent audiological examination in the first affiliated Hospital of Zhengzhou University between 2014-01-2014-12 (23 normal children with 46 ears) was made as group A and 27 children with mild to moderate sensorineural deafness as group B (n = 27). 26 patients with severe sensorineural deafness (n = 26, n = 45) were selected as group C. The hearing threshold of ASSRBA was measured at 4 frequencies of 4 frequencies (0. 5: 1. 0 卤2. 0 and 4. 0 kHz) and the results were analyzed statistically. Results the Tb-ABRN ASSRBA of Tb-ABRN ASSRBA can be measured at 4 frequencies of 0.5~4.0kHz respectively. Tb-ABR plus ASSR plus BA can obtain 166 thresholds of Tb-ABR and BA. The correlation coefficient between Tb-ABR threshold and BA threshold in 0.5~4.0kHz group A is 0.760.82 0. 870.97 0. 575 0. 664 A respectively. The correlation coefficients of group C were 0.99 ~ 0.902 ~ (0.89) ~ 0.89 ~ 0.95 ~ 0.95 ~ 0.95 ~ 0.95 ~ 0.95 ~ 0.95 ~ 0.95 ~ 0.95 ~ 0.90 ~ 0.90 ~ 0.90 ~ 0.90 ~ 0.89 ~ 0.89 ~ (0.89) ~ 0.95 ~ 0.95 ~ 0.91 ~ (-1), respectively. Conclusion Tb-ABR ASSR bar can evaluate residual hearing in children with more severe hearing loss. 2 ASSR and Tb-ABR have advantages and disadvantages in different hearing level tests. In children with normal hearing and mild to moderate sensorineural hearing loss, there was a high correlation between Tb-ABR response threshold and BA threshold, and between ASSR response threshold and BA threshold in severe and severe sensorineural hearing loss children.
【作者单位】：郑州大学第一附属医院耳鼻咽喉科;
【分类号】：R764.4

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