助听后Chirp ABR阈值和行为测听阈值的相关性研究  

Correlation between Chirp ABR Thresholds and Aided Behavioral Audiometry Thresholds

作　　者：吕渊[1] 许焕狮 沈毅[1] 沈志森[1] 史文迪 LV Yuan;XU Huanshi;SHEN Yi;SHEN Zhisen;SHI Wendi(Department of Otorhinolaryngology Head and Neck Surgery,Ningbo Medical Therapy Center Lihuili Hospital,Ningbo,315040 China;Hangzhou Rehabilitation Center for Deaf Children,Hangzhou,310053 China;Ningbo University School of Medicine,Ningbo,315211 China)

机构地区：[1]宁波市医疗中心李惠利医院耳鼻咽喉头颈外科,宁波315040 [2]杭州聋儿康复中心,杭州310000

出　　处：《中华耳科学杂志》2018年第3期336-339,共4页Chinese Journal of Otology

基　　金：1.国家自然科学基金资助项目(81670920)和专项项目(81541039);2.浙江省自然科学基金面上项目(LY15H130003);3.浙江省医药卫生科技项目(2016KYB272);4.浙江省宁波市科技惠民技术研发项目(2015C50026);5.宁波市医疗卫生品牌学科建设项目资助(PPXK2018-02)

摘　　要：目的探讨助听后Chirp ABR与行为测听阈值的相关性。方法做出同一受试者在安静环境下的ChirpABR声场下助听听阈与行为测听听阈,分析比较其助听听阈评估结果。结果 Chirp ABR声场下助听听阈与行为测听结果比较,左耳各频率相关性系数r分别为0.870、0.866、0.944和0.849;右耳各频率相关性系数r分别为0.936、0.906、0.937和0.931,有较高的相关性;Chirp ABR阈值比行为测听阈值高9-18分贝。结论 Chirp ABR技术可以用于不能配合行为测听或行为测听结果不准确的听障儿童,获得助听听阈评估。Objective To investigate the correlation between chirp ABR and behavioral thresholds with hearing aids. Methods The same participants were subjected to both Chirp ABR and behavioral audiometry testing in a quiet sound field, and thresholds were compared between the two test modalities. Results Correlation coefficients between Chirp ABR and behavioral audiometry thresholds for the four tested frequencies were 0.87, 0.866, 0.944 and 0.849 for the left ear and 0.936, 0.906, 0.937 and 0.931 for the right ear, respectively, with ABR Chirp thresholds being higher than behavioral thresholds by 9-18 dB. Conclusion Chirp ABRs can be used to estimate aided sound-field thresholds in children who cannot cooperate in behavioral audiometry.

关 键 词：CHIRP ABR 行为测听 声场评估 助听听阈 

分 类 号：R764[医药卫生—耳鼻咽喉科]