小龄听障儿童助听后声场ABR和声场行为测听的相关性研究
|
摘要
目的探讨助听后CE Chirp ABR反应阈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CE Chirp ABR声场下助听反应阈与声场行为测听助听听阈,分析比较其相关性。结果声场下助听后CE Chirp ABR反应阈与行为测听阈值比较,左耳各频率相关性系数r分别为0.886、0.853、0.931、0.901;右耳各频率相关性系数r分别为0.836、0.871、0.941、0.936;CE Chirp ABR反应阈比行为测听阈值高约4-18 dBnHL。结论对于行为测听不能配合、或准确性不确切的佩戴助听器患儿,可采用声场下测试CE Chirp ABR反应阈进行助听听阈测试或验证。
Objective To investigate the correlation between CE Chirp ABR and behavioral thresholds in infants with hearing impairment following hearing aid fitting. Methods CE Chirp ABR and behavioral audiometry were conducted in the same participants in a quiet sound field. Thresholds were compared subsequently between the two tests.Results For 0.5, 1, 2 and 4 k Hz, r was 0.886, 0.853, 0.931 and 0.901 for the left ear, and 0.836, 0.871, 0.941 and 0.936 for the right ear, respectively. In addition, CE Chirp ABR thresholds were 4-18 dB higher compared with the behavioral thresholds. Conclusion The results suggest that CE Chirp ABRs can improve accuracy in identifying hearing loss in young individuals, thereby being an alternative in estimating aided sound-field thresholds in difficult-to-test infants.
Objective To investigate the correlation between CE Chirp ABR and behavioral thresholds in infants with hearing impairment following hearing aid fitting. Methods CE Chirp ABR and behavioral audiometry were conducted in the same participants in a quiet sound field. Thresholds were compared subsequently between the two tests.Results For 0.5, 1, 2 and 4 k Hz, r was 0.886, 0.853, 0.931 and 0.901 for the left ear, and 0.836, 0.871, 0.941 and 0.936 for the right ear, respectively. In addition, CE Chirp ABR thresholds were 4-18 dB higher compared with the behavioral thresholds. Conclusion The results suggest that CE Chirp ABRs can improve accuracy in identifying hearing loss in young individuals, thereby being an alternative in estimating aided sound-field thresholds in difficult-to-test infants.
引文
1原皞,张华,梁巍,等.听障婴幼儿听觉干预后短期听觉语言能力评估[J].中华耳科学杂志,2015,13(4):598-603.Yuan H,Zhang H,Liang W,et al.Auditory and language abilities of hearing impaired infant-toddler in the first year of auditory intervention[J].Chinese Journal of Otology,2015,13(4):598-603.
2莫玲燕.小儿听觉电生理测试的临床应用简述[J].听力学及言语疾病杂志,2009,17(5):416-419.Mo YL.Brief introduction of clinical application of electrophysiological test in children[J].Journal of Audiology and Speech Pathology,2009,17(5):416-419.
3魏凡钦,陆钊群,张官萍,等.成人频率特异性chirp听性稳态反应与纯音听阈测试的相关性研究[J].中华耳科学杂志,2012,(4):451-454.Wei FQ,Lu ZQ,Zhang GP,et al.Correlation between frequency-specific chirp auditory steady-state responses and pure tone audiometry in adults[J].Chinese Journal of Otology,2012,(4):451-454.
4 Zirn S,Louza J,Reiman V,et al.Comparison between ABR with click and narrow band chirp stimuli in children[J].International Journal of Pediatric Otorhinolaryngology,2014,78(8):1352-1355.
5 Bargen GA.Chirp-evoked auditory brainstem response in children:a review[J].American Journal of Audiology,2015,24(4):573-583.
6吕渊,许焕狮,沈毅,等.助听后Chirp ABR阈值和行为测听阈值的相关性研究[J].中华耳科学杂志,2018,16(3):336-339.Lv Y,Xu HS,Shen Y,et al.Correlation between chirp ABRthresholds and aided behavioral audiometry thresholds[J].Chinese Journal of Otology,2018,16(3):336-339.
7吕渊,鲍小欢,沈毅,等.窄带CE-Chirp ASSR与普通ASSR在极重度听损中的对比研究[J].中华耳科学杂志,2018,16(3):340-343.Lv Y,Bao XH,Shen Y,et al.Narrow band CE-chirp ASSRs and conventional ASSRs in children with profound hearing loss[J].Chinese Journal of Otology,2018,16(3):340-343.
8李楚凌,罗香林,尹宝珠,等.听力正常儿童chirp声与click声听性脑干反应特征比较[J].听力学及言语疾病杂志,2014,6:582-584.Li CL,Luo XL,Yin BZ,et al.Clinical features comparison of auditory brainstem response by chirp and click stimuli in normal hearing children[J].Journal of Audiology and Speech Pathology,2014,6:582-584.
9陶征,宋戎,韩睿.Chirp声诱发ABR的研究现状[J].听力学及言语疾病杂志,2014,5:537-540.Tao Z,Song R,Han R.Current research of chirp auditory brainstem response[J].Journal of Audiology and Speech Pathology,2014,5:537-540.
1王小亚,罗仁忠,蓝军,等.儿童Chirp听性脑干反应与行为测听的相关性[J].中华耳鼻喉科头颈外科杂志,2009,44(3):188-191.Wang XY,Luo RZ,Lan J,et al.Correlation between chirp auditory brainstem response and behavioral hearing threshold in children[J].Chinese Journal of Otorhinolaryngology Head and Neck Surgery,2009,44(3):188-191.
11 Elberling C,Don M,Cebulla M,et al.Auditory steady-state responses to chirp stimuli based on cochlear traveling wave delay[J].Journal of the Acoustical Society of America,2007,122(5):2772-2785.
12李芳芳,田成华,王蒙,等.健听青年短音ABR和倍频程CE-Chirp ABR的V波特性分析[J].中国听力与言语康复科学杂志,2015,13(4):252-256.Li FF,Tian CH,Wang M,et al.A comparison of the wave v between tone-pip and octave band CE-chirp?Evoked auditory brainstem responses in normal-hearing young people[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2015,13(4):252-256.
13邹建华,蓝小兵,林琳,等.声场中记录的听性稳态助听反应阈与行为测试助听听阈的相关性[J].中国听力语言康复科学杂志,2011,6:26-28.Zou JH,Lan XB,Lin L,et al.A Comparison of aided hearing thresholds by behavioral audiometry and auditory steady-state response in sound field[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2011,6:26-28.
14胡旭君,史靓.ASSR声场评估助听听阈可行性报告[J].中国中西医结合耳鼻咽喉杂志,2008,16:173-177.Hu XJ,Shi L.Feasibility of multiple-frequency ASSR sound field procedures in evaluating hearing threshold gain with digital and analogy hearing aids[J].Chinese Journal of Otorhinolaryngology in Integrative Medicine,2008,16:173-177.
15 Alegre M,Barbosa C,Valencia M,et al.Effect of reduced attention on auditory amplitude-modulation following responses:a study with chirp-evoked potentials[J].Journal of Clinical Neurophysiology,2008,25(1):42-47.
16 Pictor TW,Durieux-Smith A,Champagne SC,et al.Objective evaluation of aided thresholds using auditory steady-state responses[J].Journal of the American Academy of Audiology,1998,9(5):315-331.
17李应会,张敏.婴幼儿视觉强化测听的体会[J].现代医药卫生,2005,21(16):2163.Li YH,Zhang M.The experience of infants'visual enhanced audiometry[J].Modern Medicine and Health,2005,21(16):2163.
2莫玲燕.小儿听觉电生理测试的临床应用简述[J].听力学及言语疾病杂志,2009,17(5):416-419.Mo YL.Brief introduction of clinical application of electrophysiological test in children[J].Journal of Audiology and Speech Pathology,2009,17(5):416-419.
3魏凡钦,陆钊群,张官萍,等.成人频率特异性chirp听性稳态反应与纯音听阈测试的相关性研究[J].中华耳科学杂志,2012,(4):451-454.Wei FQ,Lu ZQ,Zhang GP,et al.Correlation between frequency-specific chirp auditory steady-state responses and pure tone audiometry in adults[J].Chinese Journal of Otology,2012,(4):451-454.
4 Zirn S,Louza J,Reiman V,et al.Comparison between ABR with click and narrow band chirp stimuli in children[J].International Journal of Pediatric Otorhinolaryngology,2014,78(8):1352-1355.
5 Bargen GA.Chirp-evoked auditory brainstem response in children:a review[J].American Journal of Audiology,2015,24(4):573-583.
6吕渊,许焕狮,沈毅,等.助听后Chirp ABR阈值和行为测听阈值的相关性研究[J].中华耳科学杂志,2018,16(3):336-339.Lv Y,Xu HS,Shen Y,et al.Correlation between chirp ABRthresholds and aided behavioral audiometry thresholds[J].Chinese Journal of Otology,2018,16(3):336-339.
7吕渊,鲍小欢,沈毅,等.窄带CE-Chirp ASSR与普通ASSR在极重度听损中的对比研究[J].中华耳科学杂志,2018,16(3):340-343.Lv Y,Bao XH,Shen Y,et al.Narrow band CE-chirp ASSRs and conventional ASSRs in children with profound hearing loss[J].Chinese Journal of Otology,2018,16(3):340-343.
8李楚凌,罗香林,尹宝珠,等.听力正常儿童chirp声与click声听性脑干反应特征比较[J].听力学及言语疾病杂志,2014,6:582-584.Li CL,Luo XL,Yin BZ,et al.Clinical features comparison of auditory brainstem response by chirp and click stimuli in normal hearing children[J].Journal of Audiology and Speech Pathology,2014,6:582-584.
9陶征,宋戎,韩睿.Chirp声诱发ABR的研究现状[J].听力学及言语疾病杂志,2014,5:537-540.Tao Z,Song R,Han R.Current research of chirp auditory brainstem response[J].Journal of Audiology and Speech Pathology,2014,5:537-540.
1王小亚,罗仁忠,蓝军,等.儿童Chirp听性脑干反应与行为测听的相关性[J].中华耳鼻喉科头颈外科杂志,2009,44(3):188-191.Wang XY,Luo RZ,Lan J,et al.Correlation between chirp auditory brainstem response and behavioral hearing threshold in children[J].Chinese Journal of Otorhinolaryngology Head and Neck Surgery,2009,44(3):188-191.
11 Elberling C,Don M,Cebulla M,et al.Auditory steady-state responses to chirp stimuli based on cochlear traveling wave delay[J].Journal of the Acoustical Society of America,2007,122(5):2772-2785.
12李芳芳,田成华,王蒙,等.健听青年短音ABR和倍频程CE-Chirp ABR的V波特性分析[J].中国听力与言语康复科学杂志,2015,13(4):252-256.Li FF,Tian CH,Wang M,et al.A comparison of the wave v between tone-pip and octave band CE-chirp?Evoked auditory brainstem responses in normal-hearing young people[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2015,13(4):252-256.
13邹建华,蓝小兵,林琳,等.声场中记录的听性稳态助听反应阈与行为测试助听听阈的相关性[J].中国听力语言康复科学杂志,2011,6:26-28.Zou JH,Lan XB,Lin L,et al.A Comparison of aided hearing thresholds by behavioral audiometry and auditory steady-state response in sound field[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2011,6:26-28.
14胡旭君,史靓.ASSR声场评估助听听阈可行性报告[J].中国中西医结合耳鼻咽喉杂志,2008,16:173-177.Hu XJ,Shi L.Feasibility of multiple-frequency ASSR sound field procedures in evaluating hearing threshold gain with digital and analogy hearing aids[J].Chinese Journal of Otorhinolaryngology in Integrative Medicine,2008,16:173-177.
15 Alegre M,Barbosa C,Valencia M,et al.Effect of reduced attention on auditory amplitude-modulation following responses:a study with chirp-evoked potentials[J].Journal of Clinical Neurophysiology,2008,25(1):42-47.
16 Pictor TW,Durieux-Smith A,Champagne SC,et al.Objective evaluation of aided thresholds using auditory steady-state responses[J].Journal of the American Academy of Audiology,1998,9(5):315-331.
17李应会,张敏.婴幼儿视觉强化测听的体会[J].现代医药卫生,2005,21(16):2163.Li YH,Zhang M.The experience of infants'visual enhanced audiometry[J].Modern Medicine and Health,2005,21(16):2163.