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被诊断患有中枢听觉处理障碍及噪声环境下言语感知缺陷的儿童的耳声发射抑制

Otoacoustic emission suppression in children diagnosed with central auditory processing disorder and speech in noise perception deficits.

作者信息

Iliadou Vasiliki Vivian, Weihing Jeffrey, Chermak Gail D, Bamiou Doris Eva

机构信息

Medical School, Aristotle University of Thessaloniki, Greece.

Department of Otolaryngology - Head and Neck Surgery - and Communicative Disorders, University of Louisville, Louisville, KY, United States.

出版信息

Int J Pediatr Otorhinolaryngol. 2018 Aug;111:39-46. doi: 10.1016/j.ijporl.2018.05.027. Epub 2018 May 24.

Abstract

OBJECTIVE

The present study was designed to test the hypothesis that medial olivocochlear system functionality is associated with speech recognition in babble performance in children diagnosed with central auditory processing disorder.

METHOD

Children diagnosed with central auditory processing disorder who specifically demonstrated speech in noise deficits were compared to children diagnosed with central auditory processing disorder without these deficits. Suppression effects were examined across 15 time intervals to examine variability. Analysis of right and left ear suppression was performed separately to evaluate laterality.

STUDY SAMPLE

52 children diagnosed with central auditory processing disorder, aged 6-14 years were divided into normal or abnormal groups based on SinB performance in each ear. Cut-off value was set at SNR = 1.33 dB. Transient otoacoustic emissions suppression was measured.

RESULTS

The abnormal Speech in Babble Right Ear group showed significant negative correlations with suppression levels for 7 of the 15 time intervals measured. No significant correlations with SinBR performance were observed for the remaining time intervals, as was the case for the typically evaluated R8-18 time interval and the Speech in Babble Left Ear.

CONCLUSIONS

Results indicate that suppression is influenced by the time window analysed, and ear tested, and is associated with speech recognition in babble performance in children with central auditory processing disorder.

摘要

目的

本研究旨在验证以下假设,即内侧橄榄耳蜗系统功能与被诊断为中枢听觉处理障碍的儿童在嘈杂环境中言语识别能力相关。

方法

将被诊断为中枢听觉处理障碍且在噪声环境中存在言语缺陷的儿童与被诊断为中枢听觉处理障碍但无这些缺陷的儿童进行比较。在15个时间间隔内检查抑制效应,以检验变异性。分别对右耳和左耳的抑制情况进行分析,以评估其偏侧性。

研究样本

52名被诊断为中枢听觉处理障碍的儿童,年龄在6至14岁之间,根据每只耳朵的言语噪声比(SinB)表现分为正常组或异常组。临界值设定为信噪比(SNR)=1.33 dB。测量瞬态耳声发射抑制情况。

结果

在测量的15个时间间隔中的7个间隔内,异常组言语噪声比右耳组与抑制水平呈显著负相关。在其余时间间隔内,未观察到与言语噪声比右耳(SinBR)表现有显著相关性,典型评估的R8 - 18时间间隔和言语噪声比左耳组的情况也是如此。

结论

结果表明,抑制受分析的时间窗和测试耳朵的影响,并且与被诊断为中枢听觉处理障碍的儿童在嘈杂环境中言语识别能力相关。

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