婴幼儿听觉发育延迟的听力学特征分析

The Audiological Characteristics of the Infants with Delayed Auditory Development

曾祥丽;黎志成;岑锦添;王树芳;李鹏;张革化;

1:中山大学附属第三医院耳鼻咽喉头颈外科

摘要

目的探讨婴幼儿听觉发育延迟的听力学特点及影响因素,为鉴别听觉发育延迟与永久性聋提供科学依据。方法回顾性分析6例听觉发育延迟婴幼儿从发现听力障碍到听力转为正常的历次听力诊断情况,与同期诊断为永久性聋的婴幼儿历次听力诊断情况进行比较,分析听觉发育延迟婴幼儿的听力学特点。结果①听觉发育延迟婴幼儿在历次听力诊断中,听力逐渐好转,而永久性聋患儿听力始终无变化;②听觉发育延迟婴幼儿初次诊断为重度或极重度聋者,常同时伴有中耳病变;③听觉发育延迟婴幼儿初次诊断时双耳阈值差仅020 dB,而初次诊断双耳阈值差过大尤其是单耳极重度或重度聋对侧耳正常的单耳听力障碍者历次复诊患耳听力均无改善则可能为永久性聋;④早期助听干预可促进听觉发育延迟婴幼儿的听觉发育。结论听力是否随婴幼儿月龄增大而好转、初次诊断重度或极重度聋是否伴有中耳积液、初诊时双耳阈值差是否≤20 dB是鉴别婴幼儿听觉发育延迟与永久性聋的重要依据;对可能为听觉发育延迟的患儿适时进行助听干预,可促进其听觉发育。

关键词

婴幼儿;听觉发育延迟;诊断;干预

基金项目(Foundation):

作者

曾祥丽;黎志成;岑锦添;王树芳;李鹏;张革化;

参考文献

1曾祥丽,王树芳,陈玉莲,等.正常新生儿ABR的表现形式及建立正常参考值的可行性探讨[J].听力学及言语疾病杂志,2008,16:36.

2 Norton SJ,Gorga MP,Widen JE,et al.Identification of neo-natal hearing impairment:Summary and recommendations[J].Ear Hear,2000,21:529.

3黄丽辉,韩德民,刘莎,等.未通过听力筛查的婴幼儿听力追踪分析[J].中华耳鼻咽喉头颈外科杂志,2005,40:643.

4 Talero-Gutie’rrez C,Carvajalino-Monje I,Samper BS,etal.Delayed auditory pathway maturation in the differential di-agnosis of hypoacusis in young children[J].International Jour-nal of Pediatric Otorhinolaryngology,2008,72:519.

5李蕴,吴皓,陈向平,等.听力障碍新生儿随访中听力恢复正常的原因分析[J].临床耳鼻咽喉科杂志,2006,20:585.

6 Graven SN,Browne JV.Auditory development in the fetus andinfant[J].Newborn&Infant Nursing Reviewx,2008,8:4 187.

7 Owen MJ,Nechay KN,Howie VM.Brainstem auditory evokedpotentials in young children before and after tympanostomytube placemen[J].International Journal of Pediatric Otorhino-laryngology,1993,25:105.

8 Moore JK,Linthicum JR,Fred H.The human auditory sys-tem:A timeline of development[J].International Journal ofAudiology,2007,46:460.

9 Sleifer P,Costa SSD,Coser PL,et al.Auditory brainstem re-sponse in premature and full-term children[J].InternationalJournal of Pediatric Otorhinolaryngology,2007,71:1 449.

本文信息

PDF(144K)

本文关键词相关文章

婴幼儿听觉发育延迟诊断干预

本文作者相关文章

曾祥丽黎志成岑锦添王树芳李鹏张革化