3～7月龄婴儿226Hz和1000Hz探测音声导抗的适用月龄研究

Proper Use of 226 Hz and 1000 Hz Tympanograms in Infants of 3～7 Months old

陈平;王智楠;胡艳玲;乐玮琼;

1:武汉市儿童医院耳鼻咽喉科

摘要

目的探讨婴儿226 Hz和1 000 Hz探测音声导抗的适用月龄。方法应用Oto100 Flex中耳分析仪对291例(529耳)3～7月龄婴儿分别进行226 Hz及1 000 Hz探测音声导抗测试,同时行ABR检测。将声导抗结果与ABR的波I潜伏期进行kappa一致性分析。结果 3、4、5月龄婴儿1 000 Hz探测音声导抗与ABR波I潜伏期的kappa值均大于0.7,提示两者吻合度较高,而其226 Hz声导抗与ABR波I潜伏期的kappa值均小于0.7,提示两者吻合度较低。6、7月龄婴儿226 Hz和1 000 Hz探测音声导抗结果与ABR波I潜伏期kappa值均小于0.7,但均>0.4,提示吻合度一般。结论与ABR的波I潜伏期相比,1 000 Hz声导抗适用于5月龄以下的婴儿,准确度较高,6、7月龄婴儿226 Hz和1 000 Hz探测音声导抗准确度均不高。

关键词

声导抗;婴儿;月龄

基金项目(Foundation):

武汉市卫生局2006年临床资助项目68号

作者

陈平;王智楠;胡艳玲;乐玮琼;

参考文献

1 Meyer SE,Jardine CA,Deverson W.Developmental changesin tympanometry:A case study[J].Brit J Audiol,1997,31:189.

2 Keefe DH,Levi E.Maturation of the middle and externalears:Acoustic power-based responses and reflectance tympa-nometry[J].Ear Hear,1996,17:361.

3 Minnesota Department of Health Early Hearing Detection andIntervention(EHDI)Program Protocol for Infant AudiologicAssessment 2005.http://www.infanthearing.org/states/minnesota/index.html.

4 Kei J,Allison-Levick J,Dockray J,et al.High-frequency(1000 Hz)tympanometry in normal neonates[J].J Am AcadAudiol,2003,14:20.

5商莹莹,倪道凤,刘世琳.低频和高频探测音鼓室声导抗测试在婴儿中耳功能诊断中的作用[J].中华耳鼻咽喉头颈外科杂志,2006,41:326.

6 Van Camp KJ,Margolis RH,Wilson RH,et al.Principles oftympanometry[M].ASHA Monogr,1986.24:1～88.

7 Purdy SC,Williams MJ.High frequency tympanometry:A val-id and reliable immittance test protocol for young infants[J]The New Zealand Audiological Society Bulletin,2000,10:12.

8 Fria TJ,Sabo DL.Auditory brainstem responses in childrenwith otitis media with effusion[J].Annals of Otology,Rhi-nology,and Laryngology,1979,89:200.

9 Baldwin M.Choice of probe tone and classification of tracepatterns in tympanometry undertaken in early infancy[J].IntJ Audiol,2006,45:417.

10 Alaerts J,Luts H,Wouters J.Evaluation of middle ear func-tion in young children:clinical guidelines for the use of 226-and 1000-Hz tympanometry[J].Otol Neurotol,2007,28:727.

11 Sanford C A.Effects of maturation on tympanometric wide-band acoustic transfer functions in human infants[J].JAcoust Soc Am,2008,124:2 106.

12 Spector G J,Ge XX..Development of the hypotympanum inthe human fetus and neonate[J].Ann Otol Rhinol Laryngol,1981,90(Suppl):1.

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声导抗婴儿月龄

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陈平王智楠胡艳玲乐玮琼