journal1 ›› 2018, Vol. 26 ›› Issue (9): 1038-1041.DOI: 10.11852/zgetbjzz2018-26-09-29

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Application of automated auditory brainstem response combined with acoustic immitance testing in infants with suspected hearing loss

LIU Min1 , LI Xiao-lu2 , ZHANG Lu2 , LIU Peng-li2   

  1. 1 Department of Child Health Care,Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu 210004 China;
    2 Department of Otolaryngology,the First Affiliated Hospital of Nanjing Medical University,Nanjing, Jiangsu 210029, China
  • Received:2017-09-22 Online:2018-09-10 Published:2018-09-10
  • Contact: Corresponding author:LI Xiao-lu,E-mail:lixlnj@qq.com

自动听性脑干反应联合声导抗鼓室图在疑似听力障碍婴幼儿中的应用

刘敏1, 李晓璐2,张璐2,刘鹏利2   

  1. 1 南京医科大学附属妇产医院儿童保健科, 江苏 南京 210004;
    2 南京医科大学第一附属医院耳鼻咽喉科,江苏 南京 210029
  • 通讯作者: 李晓璐,E-mail:lixlnj@qq.com
  • 作者简介:刘敏(1983-),女,江苏人,主治医师,本科学历,主要研究方向为儿童听力保健、儿童耳鼻喉科疾病诊治。

Abstract: Objective To investigate application value of automated auditory brainstem response (AABR) combined with acoustic immitance testing in hearing screening. Method Tympanometry and AABR were performed to 558 infants with suspected hearing loss and patients with suspected sensorineural hearing loss received hearing diagnosing routinely from Jan.2013 to Dec.2016. Results Among 1 116 ears, 504 ears passed joint screening initially, 79 ears reexamined after one month, 20 ears judged to be normal by hearing diagnosis. Eventually, 11 ears were diagnosed with secretory otitis media,46 ears as eustachian tube dysfunction,and 456 ears as sensorineural hearing loss. Conclusions Tympanometry could be used as an assisted way of hearing screening. AABR combined with tympanometry screening is helpful for early diagnosis and early intervention, and is worth to be popularized.

Key words: hearing screening, automated auditory brainstem response, acoustic immitance testing

摘要: 目的 探讨自动听性脑干反应(AABR)联合声导抗鼓室图在听力筛查中的应用价值,以寻求更适合于基层单位推广的新生儿听力筛查方案。方法 2013年1月-2016年12月选取本院门诊疑似听力障碍婴幼儿558例,同时接受AABR和鼓室图的联合筛查,疑似感音神经性耳聋患者进行听力诊断。结果 1 116耳同时接受AABR与鼓室声导抗联合筛查,504耳为一次性通过两项联合筛查,79耳为一月后复查通过两项联合筛查,20耳为通过听力诊断判为正常。最终共诊断分泌性中耳炎11耳,咽鼓管功能障碍46耳,感音神经性耳聋456耳。结论 AABR联合声导抗鼓室图检测可以有效提高听力筛查的准确性,有利于听力障碍患儿的早发现早干预,建议基层单位进行推广。

关键词: 听力筛查, 自动听性脑干反应, 声导抗鼓室图

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