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

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

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。

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.