Stevens J C, Webb H D, Hutchinson J, Connell J, Smith M F, Buffin J T
Department of Medical Physics and Clinical Engineering, Royal Hallamshire Hospital, Sheffield, UK.
Br J Audiol. 1991 Feb;25(1):11-4. doi: 10.3109/03005369109077859.
Click-evoked oto-acoustic emissions and auditory brainstem responses (ABR) have been recorded in 723 babies taken largely from a neonatal intensive care unit to evaluate the use of oto-acoustic emissions as a method of screening for hearing impairment. Twenty-nine infants failed to pass the initial ABR test and repeat ABR tests carried out up to the age of 3 months. The 'sensitivity' and 'specificity' of the oto-acoustic emission test for the ABR test results up to 3 months of age in surviving infants were 93% and 84% respectively. It is proposed that click-evoked oto-acoustic emissions be considered as the initial method to screen for hearing impairment, test failures being followed up by ABR.
对主要来自新生儿重症监护病房的723名婴儿进行了瞬态诱发耳声发射和听性脑干反应（ABR）测试，以评估耳声发射作为听力障碍筛查方法的应用。29名婴儿未能通过初始ABR测试，且在3个月龄前进行的重复ABR测试也未通过。对于存活婴儿，在3个月龄前，耳声发射测试针对ABR测试结果的“敏感性”和“特异性”分别为93%和84%。建议将瞬态诱发耳声发射作为听力障碍筛查的初始方法，测试未通过者采用ABR进行后续检查。
