多频稳态诱发电位评估中度感音神经性聋儿童的应用.pdfVIP

中国中西医结合耳鼻咽喉科杂志2008年第16卷第6期 415 · 临 床 研 究 · 多频稳态诱发电位评估中度感音神经性聋儿童的应用 侯金程 王英 谷京城 【摘要】目的 探讨多频稳态听觉诱发电位评估儿童中度感音神经性聋的可靠性。方法 所有患者经纯音测听(PTA)检查 筛选出中度感音神经性聋30例5～6岁儿童(共40耳)，然后Hn~10％水合氯醛镇静睡眠后，行多频稳态听觉诱发电位(ASSR)检 测，其阈值与纯音听阂阈值进行比较，分析不同频率处听力阈值分布情况及其相关性。结果 分别比较语言频率ASSR阂值与纯 音听闽阈值，结果显示，0．5kHz处相关性较差，其差值为2~18dB，而在4kHz处相关性最好。结论 可以应用多频稳态听觉诱发 电位评估中度感音神经性聋儿童的听力阈值，但需要注意0．5kHz处的相关性差异。 【关键词】多频稳态听觉诱发电位；感音神经性聋；中度；听力阈值评估 Auditorysteady—stateresponsesfortheestimationofmoderatesensorineural hearinglossamongchildren HOUJincheng,WANGYing,GUJingcheng Dept．ofLiaoning ProvincialHospita1．Shenyang, 110016．China [Abstract]ObjectiveToinvestigatethefeasibilityofauditorysteady-stateresponses(ASSR)forhteestimationofmoderatedegree ofsensorineuralhearinglossamongchildrenbasedonaclinicaltria1．MethodsIncludednithisstudywere30childrencases(40ears) witllmoderatesensorineuralhearingloss．whowereenrollednithissutdyscreenedfrom 5～6yearsoldchildrennipopulationbypuretone audiometry,assayde byASSRfollownig10％ chloralhydratesedatde ．Then．acomparisonwasmadebetweenhtethresholdsofASSRand puretoneaudiometrytoexplorethedistributionofhearingthresholdlevelsnadhtecorrelationofonewihthteotherma onghtem athtese thresholdsofvariousrfequencies．ResultsAsaresultofcomparisonbewteenhtethresholdsofASSRnadhteoneofpuretoneaudiometry carriedoutma ongspeechfrequencies，htecorrelationwasshownbestattherfequencyof4kHzandpoorerat hterfequnecyof0．5kHz， W-thagapofhearinglevelbetweenhtemabout2～l8dB．ConclusionsItisfeasibletoutilizeASSRasaproceduretoestimatehtehearing thresholdforcaseswihtmoderatedegree ofsensorineuralheadnglossma ongchildrne．However,itshouldbekeptinmindthathtreemay besomevariationnihtecorrelationofASSRwihthtepuretonedeterminedhearingthreshold． [keywords]]Auditorysteady·satteresponses；Sensorinneralhearingloss；Moderatedergee；Heating