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听觉多频稳态诱发反应对儿童感音神经性聋听力评估的应用黄海琼【期刊名称】《赣南医学院学报》【年(卷),期】2015(35)1【摘要】Objective:To investigate the values of auditory steady state response (ASSR)in Children with sensorineural hearing loss.Method:34 sensorineural hearing loss children (68 ears)were measured with auditory steady state re-sponse,auditory brainstem response and 40 Hz auditory event related potential (40 Hz AERP)testing.Data were ana-lyzed by SPSS 17.0 software.Results:The positive incidences of ASSR at 0.5,1.0,2.0 and 4.0 kHz were 100.0%, 100.0%,95.6% and 88.2% respectively.The positive incidences of 40Hz AERP were 97.1%.All of these were sig-nificantly higher than that of ABR (60.3%)(P<0.05 ).Response threshold of 40 Hz AERP and 0.5 kHz,1 .0 kHz ASSR had an obvious positive correlation.There was a positive correlation between threshold of ABR and that of 2.0 kHz,4.0 kHz ASSR.Conclusion:In sensorineural hearing loss children,ASSR,ABR and 40Hz AERP can be used as effective means of evaluation to estimate the objective thresholds,but for patients with severe deafness ASSR had a higher detection rate.ASSR at frequency of 2.0 kHz or 4.0 kHz and ABR have similar accuracy to estimate the objective thresh-olds;ASSR at frequency of 0.5 kHz or 1 .0 kHz and 40 Hz AERP have similar accuracy to estimate the objective thresh-olds.%目的：探讨听觉多频稳态诱发反应（ASSR）在感音神经性聋患儿中的应用价值。
多频稳态听觉反应在OSAHS儿童听力损失中的应用李宁;神平;李培华;刘稳;陈光英;王采集;贺腾【期刊名称】《徐州医学院学报》【年(卷),期】2017(037)004【摘要】目的应用多频稳态听觉反应(auditory steady-state response,ASSR)研究睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)患儿听功能状态及切除扁桃体和(或)腺样体后听力恢复情况.方法睡眠打鼾首诊入院的患儿68例,根据多导睡眠监测结果分为OSAHS组(n=48)及单纯鼾症组(n=20).入院后均行ASSR、声阻抗、耳声发射等听力学检查,比较2组患儿听力情况.全麻下应用低温等离子消融切除扁桃体和(或)腺样体.术后3~6个月对OSAHS组患儿复查上述听力学检查指标,比较手术前后听力改变情况.结果ASSR结果显示OSAHS组患儿在 0.5、1、2、4 kHz 处测试的反应阈值均明显高于单纯鼾症组及OSAHS术后组(P<0.05);声阻抗结果显示OSAHS组患儿鼓室导抗图异常率明显高于单纯鼾症组及OSAHS术后组(P<0.05),且耳声发射结果显示OSAHS组瞬态诱发性耳声发射通过率及畸变产物耳声发射通过率均明显低于单纯鼾症组及OSAHS术后组(P<0.05).结论 OSAHS患儿易出现听功能损失,应用多频稳态听觉反应可检测OSAHS患儿低频及中高频听力损失情况,对伴有听力下降的OSAHS患儿行腺样体和(或)扁桃体切除术后听力多数可获得提高.%Objective To assess the hearing function of obstructive sleep apneahypopnea syndrome (OSAHS) children using auditory steady-state response (ASSR) and to evaluate the recovery after tonsillectomy and/or adenoidectomy.Methods A total of 68 children who were admitted into our hospital due to snoringwere included into the current study.They were divided into an OSAHS group (n=48) and a simple snoring group (n=20) according to the results of polysomnography.Then, audiological examinations including ASSR, acoustic impedance and otoacoustic emission were conducted after hospitalization to compare their hearing function.Tonsillectomy and/or adenoidectomy were performed using plasma radio frequency ablation under general anesthesia at a low temperature.Then, OSAHS children were audiologically re-examined again 3 to 6 months after operation to compare the hearing changes before and after operation.Results According to the results of ASSR, OSAHS children presented reaction thresholds that were significantly higher than those in the simple snoring group and the OSAHS group after operation at 0.5, 1, 2 and 4 kHz(P<0.05).Acoustic impedance results showed that OSAHS children produced a remarkably higher abnormal rate than that of the simple snoring group and the OSAHS group after operation (P<0.05).Furthermore, based on otoacoustic emissions results, the rates of transient evoked otoacoustic emissions and distortion product otoacoustic emissions were significantly lower for OSAHS children compared with the simple snoring group and the OSAHS group after operation (P<0.05).Conclusions OSAHS children are susceptible to hearing loss.ASSR can be used to detect hearing loss at low and medium-high frequency in OSAHS children.For OSAHS children with reduced hearing function, their hearing may be greatly improved after adenoidectomy and/or tonsillectomy.【总页数】4页(P269-272)【作者】李宁;神平;李培华;刘稳;陈光英;王采集;贺腾【作者单位】徐州医科大学研究生学院,江苏徐州 221004;徐州医科大学附属医院耳鼻咽喉-头颈外科,江苏徐州 221002;徐州医科大学附属医院耳鼻咽喉-头颈外科,江苏徐州 221002;徐州医科大学附属医院耳鼻咽喉-头颈外科,江苏徐州 221002;徐州医科大学附属医院耳鼻咽喉-头颈外科,江苏徐州 221002;徐州医科大学附属医院耳鼻咽喉-头颈外科,江苏徐州 221002;徐州医科大学研究生学院,江苏徐州221004【正文语种】中文【中图分类】R764.2【相关文献】1.多频稳态听觉反应在OSAHS儿童听力损失中的应用 [J], 李宁;神平;李培华;刘稳;陈光英;王采集;贺腾;;;;;;;2.听性脑干反应联合听觉多频稳态诱发反应在儿童听力筛查和诊断中的应用 [J], 刘寒波;彭增龙;胡建平;林湘如;吴雄文;黎可华3.多频听觉稳态诱发反应在语前聋婴幼儿听力检查中的应用分析 [J], 胡恒4.多频听觉稳态诱发反应在突聋听力检查中的应用及其价值 [J], 李家荔;杨和平5.骨导听性脑干反应和骨导多频听觉稳态反应在传导性听力损失检测中的应用 [J], 楼高忠;胡娟;史文迪因版权原因，仅展示原文概要，查看原文内容请购买。
人工耳蜗评估初评
人工耳蜗术前常见的术前评估：
耳科学检查：
包括耳廓、外耳道、鼓膜和咽鼓管等
听力学评估包括：
主观的听阈测定——了解患者的听力损失情况情况，让医生和听力师对患者的听力情况有个大致的了解。
客观的听阈测——听觉脑干诱发电位测试（ABR）；多频稳态诱发电位（ASSR)；多用于不配合主观测试的听损宝宝。
声导抗测定——了解孩子中耳的生理情况，判断中耳炎症等情况是否对孩子的听力构成影响，治疗可以治疗的部分。
言语测听——言语听阈测试为语察觉阈和语识别阈;言语识别测试包括言语测试词表和小儿言语测试词表
助听器评估——听力师可以根据助听器的评估情况，来跟家长阐述助听器的效果，由此来判断是否必须行CI手术。
影像学检查——是选择患者至关重要的检查，常规要做颞骨薄层CT扫描，必要时需做头颅磁共振、耳蜗三维重建和内耳道断面扫描。
语言能力评估——对有一定语言经验或能力的患者应做言语能力评估(语言结构和功能)，以此判断患者现阶段的语言能力状况。
多频稳态诱发电位评估中度感音神经性聋儿童的应用研究佚名【期刊名称】《中国医药导刊》【年(卷),期】2013(000)006【摘要】Objective:Analyze multiple auditory steady-state evoked potential evaluation of application effect of moderate sensorineural deafness children,for reference.Methods:Choose 62 cases with moderate sensorineural deafness from Sep. 2009 to Aug. 2012 in our hospital as research object,were detected by auditory steady-state evoked potentials (ASSR) and pure tone audiometry (PTA) test,compare the difference threshold under different frequencies the two methods.Results:Compared with PTA and ASSR,1.0kHz,0.5kH z,2.0kHz,4.0kHz in the test threshold were higher,with significant statistical difference (P<0.05).The frequency of0.5kHz is the biggest difference.Conclusion:ASSR for hearing evaluation of moderate sensorineural deafness children,test result is objective,can provide objective basis for children with hearing aid fitting,or implant artificial cochlea.% 目的：分析多频稳态诱发电位评估中度感音神经性聋儿童的应用效果,以供参考。
