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[小儿听力学中的诱发反应测听法]

[Evoked response audiometry in pediatric audiology].

作者信息

Schorn K, Stecker M

机构信息

Klinik und Poliklinik für Hals-, Nasen- und Ohrenkranke, Universität München.

出版信息

Laryngol Rhinol Otol (Stuttg). 1988 Feb;67(2):78-83.

PMID:3362006
Abstract

Since we know that maturation of the hearing system occurs within the first few weeks after birth, audiologic testing should be performed as soon as possible whenever there is the slightest suspicion of a hearing disorder. The only reliable test method in this early period of life is the electric response audiometry. To use the advantages of this objective test method, several criteria must be observed. The most important of these are: 1. good sedation, 2. sufficient test routine comprising not only clicks but also 500 Hz pulses and bone-conducted stimuli, and 3. sufficient experience in the interpretation of the various recorded response patterns. Comparing subjective and objective results in 533 children, the ERA proves to be the more reliable and effective method giving extensive information on the hearing threshold and the dynamic response of audition and allowing an exact control and correction of the hearing aid adjustment.

摘要

由于我们知道听力系统的成熟在出生后的头几周内就会发生,所以只要有丝毫怀疑存在听力障碍,就应尽快进行听力测试。在生命的这个早期阶段,唯一可靠的测试方法是电反应测听法。为了利用这种客观测试方法的优势,必须遵守几个标准。其中最重要的是:1. 良好的镇静效果;2. 足够的测试程序,不仅包括短声,还包括500赫兹脉冲和骨传导刺激;3. 在解释各种记录的反应模式方面有足够的经验。通过对533名儿童的主观和客观结果进行比较,电反应测听法被证明是更可靠、更有效的方法,它能提供有关听力阈值和听觉动态反应的广泛信息,并能对助听器调节进行精确控制和校正。

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