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正常儿童多频稳态诱发电位与纯音测听测试的相关性

Correlation between the thresholds acquired with ASSR and pure tone audiometry

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【作者】 牟鸿刘俊杰李晓梅张建基张秋贵孙彦

【Author】 MU Hong1,LIU Jun-jie2,LI Xiao-mei3,ZHANG Jian-ji1,ZHANG Qiu-gui4,SUN Yan4(1.Department of Otorhinolaryngology,Qilu Children′s Hospital of Shandong University,Jinan 250022,Shandong,China;2.Department of Maxillofacial Surgery,Shandong Provincial Hospital,Jinan 250021,Shandong,China;3.Department of Medicine,Qilu Children′s Hospital of Shandong University,Jinan 250022,Shandong,China;4.Department of Otorhinolaryngology & Head and Neck Surgery,Affiliated Hospital of Medical College of Qingdao University,Qingdao 266003,Shandong,China)

【机构】 山东大学齐鲁儿童医院耳鼻咽喉科山东省立医院口腔颌面外科山东大学齐鲁儿童医院内科青岛大学医学院附属医院耳鼻咽喉-头颈外科青岛大学医学院附属医院耳鼻咽喉-头颈外科 山东济南250022山东济南250021山东济南250022山东青岛266003

【摘要】 目的:测定正常儿童多频稳态听觉诱发反应(multiple auditory steady-state responses,ASSR)阈值及纯音听阈,探讨两者的相关性。方法:对30例(60耳)正常5~10岁儿童分别行ASSR与纯音测听测试。结果:不同频率ASSR测试值均数与纯音听阈均数差值为11~16.50 dB HL;各频率ASSR测试值与纯音听阈均数间差异均有统计学意义(P<0.05),在0.25 kHz及0.5 kHz组差异尤为明显(P<0.01)。除0.25 kHz及0.5 kHz外,其他频率ASSR测试值与纯音听阈相关系数均有统计学意义(P<0.05),且随着测试频率的增加,两者的相关关系有增强趋势。结论:正常5~10岁儿童中、高频率ASSR测试值与纯音听阈有良好的相关性,可应用ASSR预测被检查者纯音听阈。

【Abstract】 Objective: To determine the threshhold of multiple auditory steadystate responses(ASSR) and pure tone audiometry in children aged five to ten with normal hearing,and to explore the correlation between them.Methods: Thirty children with normal hearing had the ASSR and pure tone audiometry determined at 0.25,0.5,1,2,4 and 8 kHz.The coherence and correlation between the two groups were determined by the t test and the correlated modulus t test.Results: The different average threshholds of ASSR and pure tone audiometry at all tested frequencies ranged from 11 to 16.50 dBHL.There was a statistical difference between the result obtained by ASSR and pure tone audiometry at all tested frequencies(P<0.05),especially at 0.25kHz and 0.5kHz(P<0.01).The correlation was significant between the results by ASSR and pure tone audiometry at all tested frequencies(P<0.05) by using the correlated modulus t test,except for 0.25kHz and 0.5kHz(P>0.05).The correlation was obvious with an increase of frequency.Conclusion:Inthe middle or high frequencies,there are good correlations between ASSRand pure tone audiometry.However,there is a numerical value betweenthem.It is feasible to confer the pure tone hearingthreshhold of childrenagedfromfive toten by determiningthe threshhold of ASSRand by usingthe numerical value.

  • 【文献出处】 山东大学耳鼻喉眼学报 ,Journal of Otolaryngology and Ophthalmology of Shandong University , 编辑部邮箱 ,2007年02期
  • 【分类号】R764
  • 【被引频次】6
  • 【下载频次】173
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