正常儿童多频稳态诱发电位及纯音测听测试相关性.docVIP

正常儿童多频稳态诱发电位及纯音测听测试相关性 　【摘要】 目的：测定正常儿童多频稳态听觉诱发反应（multiple auditory steadystate responses，ASSR）阈值及纯音听阈，探讨两者的相关性。方法：对30例（60耳）正常5 10岁儿童分别行ASSR与纯音测听测试。结果：不同频率ASSR测试值均数与纯音听阈均数差值为11 16.50?dB HL；各频率ASSR测试值与纯音听阈均数间差异均有统计学意义（P＜0.05），在0.25?kHz及0.5?kHz组差异尤为明显（P＜0.01）。除0.25?kHz及0.5?kHz外，其他频率ASSR测试值与纯音听阈相关系数均有统计学意义（P＜0.05），且随着测试频率的增加，两者的相关关系有增强趋势。结论：正常5 10岁儿童中、高频率ASSR测试值与纯音听阈有良好的相关性，可应用ASSR预测被检查者纯音听阈。 【关键词】 多频稳态诱发电位 纯音听阈 相关性 儿童 ［ABSTRACT］ Objective: To determine the threshhold of multiple auditory steadystate responses (ASSR) and pure tone audiometry in children aged five to ten with normal hearing, and to explore the correlation between them. Methods: Thirty children with normal hearing had the ASSR and pure tone audiometry determined at 0.25, 0.5, 1, 2, 4 and 8 kHz. The coherence and correlation between the two groups were determined by the t test and the correlated modulus t test. Results: The different average threshholds of ASSR and pure tone audiometry at all tested frequencies ranged from 11 to 16.50 dBHL. There was a statistical difference between the result obtained by ASSR and pure tone audiometry at all tested frequencies (P＜0.05), especially at 0.25?kHz and 0.5?kHz (P＜0.01).　The correlation was significant between the results by ASSR and pure tone audiometry at all tested frequencies (P＜0.05) by using the correlated modulus t test, Conclusion: In the middle or high frequencies, there are good correlations between ASSR and pure tone audiometry. However, there is a numerical value between them. It is feasible to confer the pure tone hearing threshhold of children aged from five to ten by determining the threshhold of ASSR and by using the numerical value. ［KEY WORDS］ Multiple auditory steadystate responses； Pure tone audiometry； Correlation； Children 　　多频稳态听觉诱发反应（multiple auditory steadystate evoked responses, ASSR）又称多频稳态听觉诱发电位（auditory steadystate evoked potential），是由调制声信号引起的反应相位与刺激信号的相位具有稳定关系的听觉诱发电位，它具有频率特异性好、刺激强度较大、客观分析结果等优点，已逐步应用于临床，并展现出广阔的应用前景［13］。但在5 10岁