重度极重度聋儿童不同刺激声ASSR与行为测听听阈的一致性及相关性分析  

The consistency and relationship between behavioral auditory thresholds and ASSR thresholds using different stimulus in children with severe and profound sensorineural hearing loss

作　　者：艾毓[1,2,3] 李文靖[1,2,3] 徐磊[1,2,3] 樊兆民[1,2,3] 王海波[1,2,3] AI Yu;LI Wenjing;XU Lei;FAN Zhaomin;WANG Haibo(Department of Otolaryngology-Headand Neck Surgery,Provincial Hospital Affiliated to Shandong University,Jinan,PR China;Clinical Audiology Center, Eye & Ear Infirmary of Shandong Provincial Hospital Group,Jinan, PR China;ENT Hospital of Shandong Province)

机构地区：[1]山东大学附属山东省立医院 [2]山东省立医院集团眼耳鼻喉医院 [3]山东省耳鼻喉医院

出　　处：《中华耳科学杂志》2017年第2期163-167,共5页Chinese Journal of Otology

摘　　要：目的通过对比传统ASSR和NB-Chirp刺激声ASSR诱发阈同行为测听听阈的相关性,评价重度-极重度聋儿童中,不同刺激声ASSR在客观听阈评估中的价值。方法对重度-极重度聋儿童进行传统ASSR和NB-Chirp-ASSR检查(每组各30人60耳),两组儿童均进行行为测听检查,将ASSR的诱发阈和行为测听的听阈进行比较,分析NB-Chirp刺激声ASSR和传统ASSR同行为测听听阈一致性,对比两种不同刺激声ASSR同行为测听听阈的相关性。结果 NB-Chirp刺激声ASSR组和传统ASSR组的诱发阈同行为测听听阈的一致性均较好,前者91.67%,后者83.33%。传统ASSR组500Hz诱发阈、NB-Chirp ASSR 1000Hz、2000Hz及4000Hz诱发阈均与行为测听听阈存在中度相关,相关系数分别为0.62、0.53、0.56和0.51。其余频率呈低度相关。结论对于重度-极重度聋儿童,同传统ASSR相比,NB-Chirp ASSR能更好的反映纯音听阈。Objective To evaluate conventional ASSR and NB-CE-Chirp ASSR thresholds as objective hearingmeasures in children with severe and profound hearing loss by analyzing the correlation between behavioral auditorythresholds and ASSR thresholds using different stimulus.Methods Children with severe and profound sensorineuralhearing loss were enrolled to receive conventional ASSR or NB-CE-chirp ASSR tests(n=30,60ears,in each group).Behavioralauditory thresholds were compared with corresponding conventional ASSR or NB-CE-Chirp ASSR thresholdsto determine threshold differences and correlations.Results Both NB-CE-Chirp ASSRs and conventional ASSRs wereconsistent with behavioral audiometry in evaluating hearing loss levels in these children with severe and profound hearingloss(91.67%and83.33%,respectively).NB-CE-Chirp ASSRs revealed a smaller threshold difference,a better correlationand better reliability at1,2and4kHz than conventional ASSRs(r=0.62,0.53,0.56and0.51,respectively).ConclusionsNB-CE-Chirp ASSRs generally produce more favorable evaluation outcomes in children with severe and profoundhearing loss.

关 键 词：诱发电位 行为测听 感音神经性耳聋 

分 类 号：R764[医药卫生—耳鼻咽喉科]