澳门长者听力问题的调查研究.PDFVIP

Validation of multi-channel auditory steady-state response in adults with sensorineural hearing loss Y-C Hsu, Y-H LIN, P-R CHEN*, C-J HSU†, H-P WU*‡ Buddhist Xindian Tzu Chi General Hospital, Taipei, and the †Department of Otolaryngology Taipei, ROC [AIMS] The purpose of this study was to evaluate whether multi-channel auditory steady-state response measurement can be used as an objective test of auditory thresholds in adults with sensorineural hearing loss. [Study design and setting] This was a prospective, comparative, experimental research design study conducted in an academic medical centre. From January to June 2007, 142 subjects (284 ears) with varying degrees of sensorineural hearing loss were included. Four commonly used frequencies (500, 1000, 2000 and 4000 Hz) were evaluated. Pure tone thresholds ,multi-channel auditory steady-state response thresholds and their correlation were obtained for each ear in all subjects. Results: Results for multi-channel auditory steady-state response thresholds and pure tone thresholds were compared for each test frequency. A difference of less than 15 dB was found in 71 per cent of patients, while a difference of less than 20 dB was found in 83 per cent. Yhe correlation coefficient (r) between auditory steady-state response thresholds and pure tone thresholds was 0.89, 0.95, 0.96 and 0.97 at 500, 1000, 2000 and 4000 Hz, respectively. The strength of the relatioship increased with increasing frequency and increasing degree of hearing loss. The mean estimated pure tone thresholds were all within 10 dB of the actual recorded pure tone thresholds. The average multi-channel auditory steady-state response test duration was 42 minutes per patient. Conclusion: Measurement of multi-channel auditory steady-state response could be a powerful, convenient electro-physiological examination with which to objectively certify clinical hearing impairment in adults. Groupin