单频刺激声听觉稳态反应在感音神经性聋患者诊断中的应用  

The Reliability of Single-Frequency Steady-State Response of Patients with Sensorineural Deafness

作　　者：曾国庆[1] 饶英华 谢希翔 苏怡[1] 宋江顺[1] 

机构地区：[1]广州市第一人民医院耳鼻咽喉科,广州510180 [2]广州市白云区人民医院神经外科,广州510180

出　　处：《中国听力语言康复科学杂志》2017年第6期410-413,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的通过对感音神经性聋患者分别进行听觉多频稳态反应(ASSR)和500 Hz单频刺激声听觉稳态反应测试(500 HZ单频ASSR),探讨单频ASSR的可靠性。方法选取129名(258耳)感音神经性聋患者,记录并分析其纯音听阈、多频ASSR及500Hz单频ASSR阈值。结果多频ASSR在500,1000、2000和4000 Hz4个频率的阈值与纯音听阈阈值相关性系数分别为0.61、0.87、0.89、0.81,P值分别为0.038,0.017,0.014,0.020;500 Hz单频ASSR阈值与多频ASSR阈值具有明显统计学差异,500 Hz单频ASSR与纯音听阈值相关性系数为0.81。结论单频ASSR能够提高多频ASSR评估受试者的低频实际听力的可靠性,并在听力损失程度较重时,这种可靠性更高。Objective To determine the thresholds of multiple auditory steady-state evoked responses （ASSR） and single-frequency steady-state response of patients with sensorineural deafness to investigate the reliability of single-frequency steady-state response. Methods The pure tone audiometry （PTA）,ASSR and single-frequency steady-state response were examined in 129（258 ears）patients with sensorineural deafness and the thresholds were recorded at 500,1000,2000 and 4000 Hz. Results Pearson correlations between the PTA thresholds and the ASSR thresholds were 0.61,0.87,0.89 and 0.81 in 500,1000,2000 and 4000 Hz and the P value is 0.038,0.017,0.014,0.020, There was significant difference between ASSR and single-frequency steady-state response at 500 Hz. Pearson correlations between the PTA thresholds and the single-frequency steady-state response thresholds was 0.81 at 500 Hz. Conclusion Single-freduency steady-state responses were able to increase the reliability of AASR to assessment hearing at low frequency and this reliability will better at the patients with worse hearing.

关 键 词：多频稳态诱发反应 单频刺激声稳态诱发反应 纯音听阂 感音神经性聋 

分 类 号：R764.431[医药卫生—耳鼻咽喉科]