极重度感音神经性耳聋婴幼儿多频稳态诱发电位的测试  

Multiple Auditory Steady State Response in Infants with Severe Sensorineural Deafness

作　　者：宋江顺[1] 王家骥[2] 吴晓钟[1] 高雄辉[1] 孟庆翔[1] 梁勇[3] 李苏卫[3] 谭慈珍[3] 谭曼玲[3] 

机构地区：[1]广州市第一人民医院耳鼻咽喉科,广东广州510180 [2]广州医学院公共卫生与全科医学学院,广东广州510182 [3]南方医科大学附属南方医院耳鼻咽喉科,广东广州510515

出　　处：《广州医学院学报》2008年第4期46-48,共3页Academic Journal of Guangzhou Medical College

基　　金：广州市卫生局资助课题(2007-YB-022)

摘　　要：目的:探讨多频稳态诱发电位,即听觉稳态反应(ASSR)在城市社区极重度感音神经性耳聋婴幼儿测试中的临床应用价值。方法:2003年3月-2008年2月对72例(144耳)<3岁极重度感音神经性耳聋婴幼儿分别行ASSR和听性脑干反应(ABR)测试。结果:极重度感音神经性耳聋婴幼儿ABR均未引出V波,而ASSR在0.5、1.0、2.0、4.0kHz引出72耳电位反应,引出率分别为66.67%(48/72)、86.11%(62/72)、88.89%(64/72)、94.44%(68/72),差异有统计学意义(P<0.05);ASSR在0.5、1.0、2.0、4.0kHz的阈值分别为(82.56±9.26)、(90.31±6.94)、(88.12±7.93)、(88.62±8.12)dBHL。结论:ASSR有助于极重度感音神经性耳聋婴幼儿的残余听力客观评估,尤以高频听阈为佳。Objective： To evaluate the significance of measurements for multiple auditory steady state response , namely auditory steady state responses （ASSR） and auditory brainstem response （ABR） in infants with severe sensorineural deafness. Methods： Between March 2003 and February 2008, measurements of ASSR and ABR were carried out in 72 infants （144 ears） with severe sensorineural deafness. Results： The V wave was not detected by measurement of ABR in all infants with severe sensorineural deafness, but was elicited by measurement of ASSR in 16.7% （48/72）, 86.11% （62/72）, 88.89% （64/72） and 94.44% （68/72） of the children at 0.5, 1.0, 2.0 and 4.0 kHz, respectively （P〈0.05）. The thresholds of ASSR at 0.5, 1.0, 2.0 and 4.0 kHz were （82.56±9.26）, （90.31±6.94）, （88.12±7.93） and （88.62±8.12） dB HL, respectively. Conclusion： The measurement of ASSR was preferable for evaluation of residual hearing in infants with severe sensorineural deafness, especially at high frequency.

关 键 词：多频稳态诱发电位 听性脑干反应 感音神经性耳聋 婴幼儿 耳声发射 载波频率 V波 电位反应 

分 类 号：R764.431[医药卫生—耳鼻咽喉科]