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[通过脑干听觉反应对儿童进行听力学评估]

[Audiologic evaluation of children by auditory responses of the brainstem].

作者信息

Rodríguez J, Suárez Fernández T

机构信息

Servicio de Neurofisiología Clínica, Hospital Valle del Nalón, Riaño-Langreo, Asturias.

出版信息

An Esp Pediatr. 1989 Jan;30(1):32-6.

PMID:2930080
Abstract

Brainstem auditory evoked responses (BAER) were recorded in 112 children (0-14 years) submitted to us from a ORL source to evaluate the auditory function. The othologic examination and different audiologic tests (pure tone audiometry, impedance measurement, stapedial reflex) showed no definite results due to several reasons including age, uncooperativeness, low reliability, or communication impairment. The following items were evaluated: 1) Wave V threshold. 2) Latency-intensity function. 3) Interwave timing, I-V amplitude ratio, wave amputation, response to the changing rate of stimulation. Results showed the utility of BAER to: 1) Confirm the audiologic impairment: 2) determine if the anomalies are uni or bilateral; 3) quantify the intensity of hearing loss, and 4) establish a topographic diagnosis of the disease.

摘要

对从耳鼻喉科转至我们科室的112名儿童(0至14岁)进行脑干听觉诱发电位(BAER)记录,以评估其听觉功能。由于包括年龄、不配合、可靠性低或沟通障碍等多种原因,耳鼻喉科检查和不同的听力学测试(纯音听力测定、阻抗测量、镫骨肌反射)均未得出明确结果。评估了以下项目:1)V波阈值。2)潜伏期-强度函数。3)波间时间、I-V波幅比、波峰缺失、对刺激变化率的反应。结果表明BAER有助于:1)确认听力学损伤;2)确定异常是单侧还是双侧;3)量化听力损失的程度;4)建立疾病的定位诊断。

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