45例腭裂婴幼儿听力状况评估  

Audiological and Otological Status of 45 Infants with Cleft Palate

作　　者：石钿印[1] 周炼[1] 商莹莹[2] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院口腔科,北京100730 [2]中国医学科学院北京协和医学院北京协和医院耳鼻喉科,北京100730

出　　处：《中国医学科学院学报》2016年第2期136-139,共4页Acta Academiae Medicinae Sinicae

摘　　要：目的探讨畸变耳声发射（DPOAE）、听性脑干反应（ABR）和鼓室声导抗3项检查在评估腭裂婴幼儿听力状况中的应用。方法纳入2013至2014年45例年龄在8^24个月的腭裂婴幼儿。应用DPOAE、ABR和1 000、226 Hz两种探测音鼓室声导抗3项检查,评估腭裂婴幼儿的听力状况。结果多数腭裂婴幼儿未通过这3项检查。6.7%的耳数通过DPOAE,33.3%的耳数ABR反应阈正常,1 000和226 Hz探测音鼓室声导抗分别有8.9%和13.3%的耳数正常。1 000 Hz探测音鼓室声导抗与DPOAE和ABR波Ⅰ潜伏期的一致性优于226 Hz探测音。结论多数腭裂婴幼儿伴有听力损失和中耳功能障碍,需结合多项检查评估其听力状况。Objective To study the audiological and otological status of cleft palate infants with the application of distortion product otoacoustic emission（ DPOAE）,auditory brainstem response（ ABR）,tympanometry with 1 000 Hz and 226 Hz probe tones. Methods Totally 45 cleft palate infants aged 8-24 months were included in the study. Most of them were examined for DPOAE,ABR and two frequency tympanometry. Results Most infants failed the three tests,among whom 6. 7% ears passed DPOAE and 33. 3% of ears had normal ABR hearing threshold. In addition,8. 9% of ears turned out normal in the 1 000 Hz probe-tone tympanometry,and13. 3% were type A in the 226 Hz probe-tone tympanometry. Finally,1 000 Hz tympanometry had more agreement with DPOAE and latency of ABR waveⅠ than 226 Hz tympanometry. Conclusion Most cleft palate infants have audiological and otological problems,which should be evaluated in a more comprehensive manner.

关 键 词：腭裂 婴幼儿 听力损失 中耳功能障碍 

分 类 号：R782.2[医药卫生—口腔医学] R764[医药卫生—临床医学]