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言语声诱发听性脑干反应对隐性听力损失的诊断意义

The Application of s-ABR in Detection of Hidden Hearing Loss

武洒洒;赵乌兰;王枫;张美辨;邱伟;

1:浙江中医药大学

2:浙江省疾病预防控制中心

3:Auditory Research Laboratories

4:State University of New York at Plattsburgh

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摘要

目的探讨言语声诱发听性脑干反应(speech-evoked auditory brainstem response,s-ABR)对早期发现隐性听力损失的临床价值。方法选取纯音听阈正常、无噪声暴露史的正常青年人27例(正常组,年龄21.04±1.04岁,男15例,女12例)和纯音听阈正常、有噪声暴露史的工人15例(工人组,均为男性,年龄27.09±3.05岁),分别进行纯音测听、声导抗和耳声发射测试,通过标准为各频率纯音听阈≤20 dB HL、鼓室导抗图为A型、耳声发射正常,对通过者行s-ABR测试,分析两组间s-ABR各波潜伏期和幅值的差异。结果两组受试者三项测试均通过,正常组女性s-ABR的波V和波A潜伏期均小于正常男性,波A的幅值明显高于正常男性(P<0.05);工人组s-ABR波A、D、O的潜伏期较正常组男性明显延长(P<0.05),两组间波幅差异无统计学意义(P>0.05)。结论对有噪声暴露史但纯音听阈正常者,s-ABR能灵敏及时地发现其听力损失,s-ABR对临床诊断隐性听力损失可能有一定的价值。

关键词

s-ABR;噪声暴露;隐性听力损失

基金项目(Foundation):

美国国立失聪和其他沟通障碍研究院(NIDCD/NIH,1R01DC015990-01);; 浙江省重点研发计划项目(2015C03039)资助;; 西万拓听力学奖学金项目(782299A00501)

作者

武洒洒;赵乌兰;王枫;张美辨;邱伟;

参考文献

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