大前庭水管综症患者多频听觉稳态反应的特点.pdfVIP

安徽医科大学硕士学位论文 大前庭水管综合症患者多频听觉稳态反应的特点 中文摘要 目的 通过对大前庭水管综合征(LVAS)患儿听觉多频稳态诱发反应(ASSR)测试分 析，探讨其ASSR特点。并将此法与听性脑干反应进行比较,说明此种客观测试方 法的优点。 方法 对40例(80耳)听性脑干反应ABR最大刺激强度95dBnHL未引出波形极重度感 音神经性耳聋患儿进行ASSR测试，其中20例(40耳)大前庭水管综合征患儿，另选 择20例(40耳)非前庭导水管扩大作为对照组,年龄0.75～9岁。将LVAS4个频率 ASSR的引出率、平均反应阈分别与非前庭导水管扩大患儿进行比较。测试结果用 SPSS13.0统计软件进行统计学分析 结果 40例(80耳)听性脑干反应的测试结果在仪器最大输出没有记录到反应而 部分病例在0.5、1、2、4kHz记录到听觉稳态诱发电位。在0.5kHz，大前庭水管 综合征患儿听觉多频稳态诱发反应引出率明显高于非前庭导水管扩大患儿，引出 率之间差异有统计学意义(P0.0001)。在0.5kHz、1kHz,LVAS与非前庭导水管扩 大患儿平均反应阈强度差异有统计学意义(P0.05)。 结论 与听觉脑干诱发电位相比,听觉稳态诱发电位测试具有较好频率特性和 高刺激强度的优点.对于重度和极度聋的小儿患者判断其残留听力具有一定的临 床意义。大前庭水管综合征多频稳态反应的特点是低频残余听力,对0.5kHz、 1kHz语言频段刺激较敏感。 关键词 前庭导水管扩大 多频听觉稳态反应 儿童 听觉丧失 感音神经性 7 安徽医科大学硕士学位论文 Clinical characteristics of auditory steady-state response on children with large vestibular aqueduct syndrome Abstract Objective To analyze and explore the characteristic of auditory steady-state response (ASSR) in infants and young children with enlarged vestibular aquaduct Syndrome (LVAS) and its treatment. Comparing auditory brain stem response indicates the advantages of such an objective test method. Methods The measurements of auditory steady-state response (ASSR) and brain stem response (ABR) was obtained from 40 infants (80 ears) with profound sensorineural hearing loss .No measurable responses of wave V in ABR were from in all infants in the study,but acquired from the measurements of ASSR.Experiment group are twenty cases(40 ears) with LAVS,control group was twenty cases with non-LVAS.comparing the positive incidence and the averaged response thresholds of ASSR in five different frequencies between LVAS patients and non-LVAS patients. aged 0.75～9 years,Data were analyzed by SPSS Results The positive incidences of ASSR in infants and young children