耳声发射在婴幼儿听力筛查中的应用  

The Application of Otoacoustic Emissions in Paediatric Hearing Screening

作　　者：郭异珍[1] 姚丹[1] 

机构地区：[1]中国医学科学院,中国协和医科大学,协和医院

出　　处：《中国医学科学院学报》1996年第4期284-287,共4页Acta Academiae Medicinae Sinicae

摘　　要：本研究同时用耳声发射（ｏｔｏａｃｏｕｓｔｉｃ．ｅｍｉｓｓｉｏｎｓ，ＯＡＥ）和脑干听觉诱发电位（ａｕｄｉｔｏｒｙｂｒａｉｎｓｔｅｍｒｅｓｐｏｎｓｅ，ＡＢＲ）检测了１３２例高危儿的听力结果表明，１３２例婴幼儿（２６４耳）中，ＯＡＥ的通过率为８８．３％（２３３／２６４耳），ＡＢＲ通过率为９２％（２４３／２６４耳）。ＯＡＥ敏感性为９０．５％（１９／２１耳），特异性为９５％（２３０／２４３耳）。检查时间，ＯＡＥ约为３ｍｉｎ，ＡＢＲ约为３０ｍｉｎ。可见，ＯＡＥ是一种敏感性和特异性较高的和可靠、简便、省时的听力筛查方法，适于在儿科领域广泛应用。We conducted auditory test of 132 high risk infants by using both otoacoustic emissions(OAE)and auditory brainstem response(ABR)screening.The result showed that the passing rate was 88.3%(233/264 ears)for OAE and 92%(243/264 ears)for ABR. The sensitivity and specificity of OAE in comparison to ABR were 90.5%(19/21 ears)and 95%(230/243 ears)respectively,The mean test time was 3 min for OAE and 30min for ABR,We therefore conclude that OAE is a highly sensitive,reliable and convenient method to be used for paediatric hearing screening.

关 键 词：耳声发射 脑干 听觉诱发电位 婴幼儿 

分 类 号：R764.04[医药卫生—耳鼻咽喉科]