Vasconcelos Rosângela Melo, Serra Lucieny Silva Martins, Aragão Vânia Maria de Farias
Hospital Universitário Presidente Dutra, UFMA.
Braz J Otorhinolaryngol. 2008 Jul-Aug;74(4):503-7. doi: 10.1016/s1808-8694(15)30595-4.
Past five years of age, the main complaint of children who are hard of hearing is that they have difficulty in learning.
Compare these results to suspected hearing loss, through triage with the exams of evoked otoacoustic emissions (EOAE) transients (TEOAE) and by distortion product (DPEOAE), using data from audiometric exams; observe which of the procedures of EOAE better respond to school children triage.
To evaluate 451 school children, grade one students, from the public schools in São Luís. At school, otoscopic exams with the removal of wax and the TEOAE and DPEOAE exams were also carried on all school children. Audiometry and acoustic impedance were performed on the children who presented alterations at any point during the TEOAE and/or DPEOAE exams.
Transversal-Prospective.
18.6% had ear wax. As for the TEOAE and DPEOAE triage, no significant statistic difference was found when comparing the results of the exams which failed only in the TEOAE and DOEOAE with audiometric exam data, nonetheless, when comparing this failure data to both of these exams there was a significant difference (p<0.05).
Both EOAE procedures responded well to the hearing triage in school children.
五岁以后，听力有困难的儿童的主要抱怨是学习有困难。
通过使用听力测试检查数据，采用瞬态诱发耳声发射（TEOAE）和畸变产物耳声发射（DPEOAE）检查进行分诊，将这些结果与疑似听力损失进行比较；观察哪种耳声发射程序对学龄儿童分诊反应更好。
对来自圣路易斯公立学校的451名一年级学童进行评估。在学校，对所有学童进行了清除耳垢的耳镜检查以及TEOAE和DPEOAE检查。对在TEOAE和/或DPEOAE检查中任何时候出现异常的儿童进行了听力测试和声阻抗测试。
横向前瞻性研究。
18.6%的儿童有耳垢。至于TEOAE和DPEOAE分诊，仅在TEOAE和DPEOAE检查中失败的检查结果与听力测试检查数据比较时，未发现显著统计学差异，然而，将此失败数据与这两项检查进行比较时存在显著差异（p<0.05）。
两种耳声发射程序对学龄儿童的听力分诊反应良好。
