听性脑干诱发反应结合单刺激听觉稳态诱发反应对正常青年人纯音听阈测听相关性研究  

Audiological assessment value of click-evoked auditory brainstem responsecombined with single stimulation of the auditory steady-stateevoked response on normal young people

作　　者：李倩庆[1] 宋江顺[1] 刘文婷[1] 汤颖文[2] 

机构地区：[1]广州医学院附属广州市第一人民医院耳鼻咽喉-头颈外科,广州510180 [2]广州大学经济与统计学院

出　　处：《临床耳鼻咽喉头颈外科杂志》2013年第16期877-880,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:分析正常青年人多刺激听觉稳态诱发反应(m-ASSR)、单刺激ASSR(s-ASSR)、听性脑干诱发反应(C-ABR)、纯音听阈测听(PTA)阈值,分析听力测试组合与PTA之间的相关性,探讨听力测试组合(C-ABR结合0.5、1.0kHz s-ASSR)在听力评估中的价值。方法:对听力正常青年人(43例86耳)分别行PTA、m-ASSR、0.5kHz s-ASSR、1.0kHz s-ASSR、C-ABR检查。将PTA、m-ASSR、听力测试组合(C-ABR结合0.5、1.0kHz s-ASSR反应阈)等用统计学软件SPSSl8.0进行双变量相关分析。结果:各频率m-ASSR、听力测试组合反应阈与PTA之间有较好的相关性。0.5、1.0、2.0、4.0kHz处,听力测试组合反应阈与PTA相关系数分别为0.803、0.650、0.649、0.734,而m-ASSR与PTA相关系数分别为0.48、0.64、0.57、0.64。结论:在正常青年人听力评估中,听力测试组合与PTA之间有较好的相关性,听力测试组合可以更准确、更可靠评估正常青年人听阈水平。Objective：Analysis of normal young people multiple stimuli ASSR（m-ASSR）, single stimuli ASSR （s-ASSR）,C-ABR, PTA threshold, exploratory investigation of relevance of hearing test combination thresholds （C-ABR combines with 0.5,1.0 kHz s ASSR）predict behavioral thresholds, using a within-subjects design. Meth- od：Forty-three normal hearing adults（86 ears） were treated with pure tone audiometry（PTA）, m-ASSR, 0. 5, 1.0 kHz s-ASSR, C-ABR. Data were analyzed by SPSS 18.0 for bivariate correlation analysis. Result： There was significant correlation between thresholds of hearing test combination and PTA, and the correlation coefficient（r） were 0. 803,0. 650,0. 649,0. 734 at 0.5,1.0,2.0 and 4.0 kHz;while the correlation coefficient（r） between thresh- olds of m-ASSR and PTA were 0. 48,0. 64,0. 57,0. 64. Conclusion：There is significant correlation between thresh- olds of hearing test combination and PTA, hearing test combination can be more accurate, more reliable assess- ment of adults with normal hearing threshold level.

关 键 词：听觉稳态诱发反应 听性脑干诱发反应 听力测试组合 纯音听阈测听 

分 类 号：R764[医药卫生—耳鼻咽喉科]