期刊文献+

客观测听技术在鉴别伪聋中的临床应用 被引量:2

The clinical application of objective audiometry to distinguishing pseudohypacusis
下载PDF
导出
摘要 目的探讨聋人运动员伪聋鉴别客观、有效的测听方法。方法运用畸变产物耳声发射技术(distortion product otoacoustic emission,DPOAE)对聋人运动员进行听力初筛,初筛通过者再行中耳声导抗测试,应用声镫骨肌反射客观性推算其听敏度。对伪聋检查结果有异议的运动员和需做听神经病鉴别的运动员,再行脑干电反应测昕。结果初筛855人共有5名运动员8耳通过耳声发射检查,DPOAE耳通过率为0.47%,人通过率为0.58%。复查中耳声导抗测试3人4耳引出镫骨肌反射且阈值正常。脑干电反应测昕2人反应阈正常,2人反应阈≥100 dB nHL。结论耳声发射、中耳声导抗测试和脑干电反应测听可作为聋人运动员伪聋鉴别客观、有效的测听方法。 Objective To explore the objective and effective audiometry for distinguishing pseudohypacusis in deaf athletes. Methods Distortion product otoacoustic emission (DPOAE) was applied for the initial hearing screening of 855 deaf athletes (1710 ears). Then acoustic immittance measurement was performed for 5 athletes who passed the initial screening and acoustic stapedius reflex was used to evaluate their hearing sensitivity. Auditory brainstem response (ABR) test was conducted on 4 athletes for further diagnosis. Results Five athletes (8 ears) passed the initial screening. The passing rate of DPOAE was 0.47% (ears) or 0.58% (persons). In the follow-up screening, stapedius reflexes were obtained from 3 athletes (4 ears) and the thresholds were normal. The ABR thresholds were normal in the 2 athletes who passed the initial and follow-up screening, and were higher than 100 dB nHL in the other 2 athletes. Conclusion DPOAE, acoustic immittance measurement and ABR are useful instruments for the diagnosis of pseudohypacusis.
作者 王艳霄 张文
出处 《中国听力语言康复科学杂志》 2009年第3期28-30,共3页 Chinese Scientific Journal of Hearing and Speech Rehabilitation
关键词 伪聋 耳声发射 中耳声导抗测试 脑干电反应测听 Pseudohypacusis DPOAE Acoustic immittance measurement ABR
  • 相关文献

参考文献3

二级参考文献12

  • 1邓振华,吴家馼,徐丽蓉.镫骨肌声反射推算听敏度及法医学评价[J].证据科学,1995,12(4):152-155. 被引量:1
  • 2卜行宽.关于在我国开展早期听力检测和干预的认识和意见[J].听力学及言语疾病杂志,2001,9.
  • 3Rance G, Beer DE, Cone-Wesson B, et al. Clinical findings for a group of infants and young children with auditory neuropathy. Ear Hear, 1999, 20: 238-252.
  • 4Berlin CI, Bordelon J, St John P, et al. Reversing click polarity may uncover auditory neuropathy in infants. Ear Hear, 1998,19:37-47.
  • 5Lang AH, Eerola O, Korpilahti P, et al. Practical issues in the clinical application of mismatch negativity. Ear Hear, 1995,16: 118-130.
  • 6Rance G, Cone-Wesson B, Wunderlich J, et al. Speech perception and cortical event related potentials in children with auditory neuropathy. Ear Hear, 2002,23:239-253.
  • 7Starr A, Picton TW, Sininger Y, et al. Auditory neuropathy. Brain, 1996, 119: 741-753.
  • 8LI Xingqi,SUN Jianhe,SUN Wei and JIANG Sichang(Institute of Oiorhinolaryngology PLA, General Hospital, Beijing 100853).Changes of summating potentials and morphology in theguinea pig cochlea during anoxia[J].Chinese Journal of Acoustics,1995,14(4):358-363. 被引量:5
  • 9顾瑞,郑杰夫,于黎明.中枢性低频听力减退的听力学分析[J].中华耳鼻咽喉科杂志,2000,35(6):441-445. 被引量:36
  • 10李兴启,孙建和,于宁,孙燕荣,谭祖林,姜泗长,李楠,周春喜.谷氨酸调节耳蜗内毛细胞游离钙的实验观察[J].中华耳鼻咽喉科杂志,2001,36(2):101-104. 被引量:12

共引文献34

同被引文献30

引证文献2

二级引证文献10

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部