感音神经性聋患者窄带CE-Chirp ASSR测试结果初步分析  

CE-Chirp Evoked Auditory Steady-State Responses in Patients with Sensorineural Hearing Loss: A Preliminary Study

作　　者：张建[1] 李群[1] 周重昌 柳辉高 沈志森[1] 史文迪 ZHANG Jian;LI Qun;ZHOU Chongchang;LIU Huigao;SHEN Zhisen;SHI Wendi(Lihuili Hospital of Ningbo Medical Center, Ningbo, 315040;Ningbo Longsai Hospital, Ningbo, 315200;Hangzhou Rehabilitation Center for Deaf Children, Hangzhou, 310000)

机构地区：[1]宁波市医疗中心李惠利医院,宁波315040 [2]宁波市镇海龙赛医院,宁波315200 [3]杭州聋儿康复中心,杭州310000

出　　处：《中华耳科学杂志》2019年第3期343-346,共4页Chinese Journal of Otology

基　　金：浙江省自然科学基金(LY14H160003);浙江省医药卫生省部培育计划(2014PYA017);浙江省医药卫生科技计划项目(2012ZDA042);浙江省医药卫生科技计划项目(2018RC063,2017KY133);宁波市科技创新团队(2012B82019);宁波市重大择优委托项目(2012C5015);宁波市自然科学基金(2012A610208,2017A610236,2015A610221);宁波市医疗卫生品牌学科建设项目(PPXK2018-02)~~

摘　　要：目的探讨感音神经性听力损失患者CE-Chirp声诱发听性稳态反应(auditory steady state response,CE-Chirp ASSR)与纯音听阈各频率反应阈值的相关性。方法选取中、重度听力损失患者18例(30耳)为受试者,听性稳态反应调制频率为90 Hz,分别测试窄带CE-chirp ASSR和纯音听阈500、1000、2000和4000 Hz的反应阈值,并进行相关性分析。结果 0.5-4.0 kHz频率CE-Chirp ASSR反应阈与纯音听阈的的相关系数r分别为0.671、0.704、0.563、0.687(P<0.01)。结论 CE-Chirp ASSR反应阈与纯音听阈有显著相关性,在客观听力评估中有较好的准确性。Objective To correlate CE-Chirp voice evoked auditory steady-state response(CE-Chirp ASSR) with pure tone audiometry(PTA) in adults with sensorineural hearing loss. Methods Eighteen adults with sensorineural heating loss were tested with pure tone audiometry and CE-Chirp ASSR at 0.5, 1, 2 and 4 kHz. Response thresholds were statistically analyzed. Results Correlation coefficients between CE-chirp ASSR and pure tone audiometry thresholds at 0.5, 1, 2 and k Hz were 0.671, 0.704, 0.563 and 0.687, respectively(P <0.01). Conclusion There is a significant correlation between CE-Chirp ASSR thresholds and pure tone audiometry. CE-Chirp ASSR can be a valid method for objective hearing evaluation.

关 键 词：Chirp听性稳态反应 纯音测听 听力损失 

分 类 号：R764[医药卫生—耳鼻咽喉科]