正常婴幼儿1000Hz和226Hz探测音声导抗结果分析

A Comparative Study of the Application of 1 000 Hz and 226 Hz Tympanometry in Normal Infants of 0～36 Months

王淑芬;陈平;王智楠;黄芳;

1:武汉市儿童医院耳鼻咽喉科

摘要

目的评价1000Hz和226Hz探测音声导抗测试在检测0～36月龄正常婴幼儿中耳功能中的作用。方法将听力正常的648例(1296耳)0～36月龄的婴幼儿分为四组,一组:0～月龄110例(220耳);二组:3～月龄109例(218耳);三组:6～月龄105例(210耳);四组:9～36月龄324例(648耳)。使用丹麦MADSEN公司OTOFLE100多频声导抗检测仪对各组分别进行1000Hz和226Hz探测音声导抗测试,对结果进行比较。结果 226Hz探测音声导抗结果:一组中有66.82%(147/220)异常,二组中有33.49%(33/218)异常,三组中34.76%(73/210)异常,四组中有1.85%(12/648)异常。1000Hz探测音声导抗结果:一组中有4.09%(9/220)异常,二组中有11.01%(24/218)异常,三组中有32.86%(69/210)异常,四组中有57.10%(370/648)异常。结论 226Hz探测音鼓室声导抗测试不能准确反映0～6月龄婴幼儿的中耳功能,1000Hz探测音声导抗测试评估0～6月龄婴幼儿的中耳功能最佳;1000Hz和226Hz探测音声导抗测试的联合应用可客观评估6～9月龄婴幼儿的中耳功能;226Hz探测音鼓室声导抗测试能客观反映9～36月龄婴幼儿的中耳功能。

关键词

1000Hz鼓室声导抗;226Hz鼓室声导抗;婴幼儿;中耳功能

基金项目(Foundation):

作者

王淑芬;陈平;王智楠;黄芳;

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1000Hz鼓室声导抗 226Hz鼓室声导抗婴幼儿中耳功能

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王淑芬陈平王智楠黄芳