Nielsen S E, Olsen S O
ENT Department, Head and Neck Surgery, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Scand Audiol. 1997;26(3):187-91. doi: 10.3109/01050399709074992.
The aim of the present study was to investigate at what ages children were able to participate in play-conditioned audiometry in a clinical setting. Data concerning age and gender for 294 children (182 boys and 112 girls) were continuously recorded with details regarding audiometric method and number of successfully determined thresholds. Some children were tested more than once, resulting in a total of 449 examinations. The results are compared with those of other studies in which visual reinforced audiometry (VRA), condition-orientation reflex audiometry (COR) and play-conditioned audiometry are used, and show that in a clinical setting it is possible to determine at least one threshold in more than 35% of children tested at ages above 16 months. At 2 years of age, about 50% of the children are able to establish thresholds at least at three frequencies and from 3 years of age nearly 75% of the children could establish 6 thresholds or more. It is concluded that VRA, COR and play-conditioned audiometry should be considered along with objective hearing tests like brainstem audiometry (ABR) or measurement of otoacoustic emissions (OAE) when assessing hearing in infants and small children.
本研究的目的是调查在临床环境中儿童能够参与游戏条件测听的年龄。持续记录了294名儿童（182名男孩和112名女孩）的年龄和性别数据，以及听力测试方法和成功测定阈值的数量等详细信息。一些儿童接受了不止一次测试，总共进行了449次检查。将结果与其他使用视觉强化测听（VRA）、条件定向反射测听（COR）和游戏条件测听的研究结果进行比较，结果表明，在临床环境中，对于16个月以上接受测试的儿童，超过35%的儿童至少能够测定一个阈值。在2岁时，约50%的儿童至少能够在三个频率上测定阈值，从3岁起，近75%的儿童能够测定6个或更多阈值。得出的结论是，在评估婴幼儿听力时，应将VRA、COR和游戏条件测听与诸如脑干听觉诱发电位（ABR）或耳声发射（OAE）测量等客观听力测试一并考虑。
