聋校学生中听神经病的调查研究-耳鼻咽喉科学专业论文.docxVIP

南京医科大学硕士学位论文聋校学生中听神经病的调查研究 南京医科大学硕士学位论文 聋校学生中听神经病的调查研究 中文摘要 目的：获得南京聋人学校在校学生中听神经病的患病情况，并对其发 病特征作初步探讨． 方法：南京聋人学校358名在校学生接受了包括耳科检查、声导抗检 查和筛查型瞬态诱发耳声发射检查的筛查，对通过瞬态诱发耳声发射 筛查的学生进行包括病史分析、纯音听阈测试，声导抗检查，诊断型 瞬态诱发耳声发射检查、畸变产物耳声发射检查、听性脑干反应检查、 眼震电图检查以及前庭诱发肌源性电位检查等全面的听力和前庭功 能评估． 结果：在接受检查的358名学生中，最终有323名学生符合进行筛查 型瞬态诱发耳声发射筛查的条件，其中1名学生单耳、2名学生双耳 显示“通过”，经进一步检查，此3人6耳均符合听神经病的诊断， 由此得出，南京聋人学校中听神经病的患病率至少0．93％(3／323)。 结论：听神经病并非罕见，在聋校中亦有发生，对其及早识别和科学 干预，此类学生可能避免进入聋校，回归主流社会。 关键词：听神经病；听力损失；耳声发射；听性脑干反应；耳蜗微音 器电位。 南京医科大学硕士学位论文 南京医科大学硕士学位论文 Auditory neuropathy in deaf school students 【Abstractl Objective：To investigate incidence and clinical features of auditory neuropathy in Nanjing deafschool students． Methods：358 deaf students in the school accepted the first examination program including otoscopic examination,tympanometry and transiently evoked otoacoustic emissions(TEOAE)screening．Detailed audiological and vestibular evaluations including pure-tone audiometry,immittance audiometry and acoustic reflex measures，transiently evoked otoacoustic emissions∞oAE)，distortion product otoacoustic emissions(DPOAE)． auditory brain stem response(ABR)，electronystamography(ENG)and vestibular evoked myogenic potential(WMP)were given to whom had positive TEOAE screening． Results：In the 358 students，323 of them entered the program of screening for auditory neuropathy．One student had positive TEOAE in single ear while the other two had positive TEOAE in both ears，in the screening stage．Those three students(six ears)had strong evidences of auditory neuropathy in the detailed audiological procedures．Therefore， the incidence of auditory neuropathy in Nanjing deaf school students was at least 0．93％(3／323)． Conclusion：Auditory neuropathy,which can also be found in deaf schools is not as rare as we thought before．Early identification and 2 南京医科大学硕士学位论文 南京医科大学硕士学位论文 intervention may help those children to avoid entering the deaf school and to return to normal society． 【key words]：Auditory neuropathy；Hearing loss；Otoacoust