CAEP基本概念及其临的床应用.ppt

CAEP基本概念及其临床应用;1、基本概念 2、临床应用： 客观听阈评估 助听器验配效果评估 ANSD病人中应用 3、未来需要构建的方向 ;婴幼儿助听效果评估;为什么皮层诱发电位可以应用于婴幼儿干预的效果评估?;Adult ;成年人不同刺激信号的波形;婴幼儿;不同年龄皮层诱发反应波形形态;CAEP room set-up at the National Acoustic Laboratories 澳洲国家声学实验室CAEP测试环境;Electrode equipment 电极装备;Keeping electrodes on the baby using a headband应用电极帽给孩子摆贴电极;Keeping the baby awake!孩子保持清醒状态;;Electrode location电极放置位置;Filtering滤波;Reducing measurement variability (random electrical signals) 减少测试变异因素（随机电噪声）? Speeding up measurements提高测试速度? Increasing validity of interpretation提高判断效度;Grand Average n = 16 infants;Adults;Fig. 1 Examples of P1 waveforms for a normally developing central auditory pathway (top), an unstimulated central auditory system, (second from top), a partially stimulated central auditory system loss (third from top), a re-organized auditory cortex (bottom).;NAL: Dillon, Van Dun, Carter, Gardner-Berry;Proportion with responses present - adults反应呈现百分比-成人;CLINICAL APPLICATIONS临床应用;Estimating hearing thresholds in non-responsive adults听力阈值评估;Good agreement between CAEP and audiometric thresholds in awake adults;Cortical thresholds minus Behavioral thresholds;NAL: Dillon, Van Dun, Carter, Gardner-Berry;Davis (1965) Cortical evoked potential versus behavioural thresholds;Conclusions: Estimating behavioural thresholds in hearing-impaired adults结论 ;Estimating outcome measurement in hearing aid fitting助听器验配效果评估(案例分析);案例 1;;Visit 1;Visit 2;The infant received bilateral cochlear implantations at 5 months of age.该婴幼儿在5个月时接受双耳人工耳蜗植入 Email from the baby’s parents 患者父母评价~ “Thank you so much for the information you gave us on the previous testing as it helped us with our decision to proceed with the implants.非常感谢所提供的测试信息，帮助我们做出进行人工耳蜗植入的决定” ;案例 2;;Visit 1;Visit 2;Visit 3;The parents still believe that their baby boy can be oral by using hearing aids.父母仍然相信BB通过助听器可以说话 They are hoping to see that their baby can benefit from more powerful hearing aids. 父母希望能够从更大功率助听器那里受益 The baby’s hearing aids wer