中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2016, Vol. 38 ›› Issue (2): 136-139.doi: 10.3881/j.issn.1000-503X.2016.02.002

• 论著 • 上一篇    下一篇

45例腭裂婴幼儿听力状况评估

石钿印1, 周炼1(), 商莹莹2   

  1. 中国医学科学院 北京协和医学院 北京协和医院
    1口腔科
    2耳鼻喉科,北京 100730
  • 收稿日期:2015-12-21 出版日期:2016-02-15 发布日期:2016-04-10
  • 作者简介:

    通信作者:周 炼 电话:010-69156335,电子邮件:zlpumch02@163.com

Audiological and Otological Status of 45 Infants with Cleft Palate

Dian-yin SHI1, Lian ZHOU1(), Ying-ying SHANG2   

  1. 1 Department of Stomatology,
    2 Department of Ear,Nose and Throat,PUMC Hospital,CAMS and PUMC,Beijing 100730,China
  • Received:2015-12-21 Online:2016-02-15 Published:2016-04-10

摘要:

目的 探讨畸变耳声发射(DPOAE)、听性脑干反应(ABR)和鼓室声导抗3项检查在评估腭裂婴幼儿听力状况中的应用。方法 纳入2013至2014年45例年龄在8~24个月的腭裂婴幼儿。应用DPOAE、ABR和1 000、226 Hz两种探测音鼓室声导抗3项检查,评估腭裂婴幼儿的听力状况。结果 多数腭裂婴幼儿未通过这3项检查。6.7%的耳数通过DPOAE,33.3%的耳数ABR反应阈正常,1 000和226 Hz探测音鼓室声导抗分别有8.9%和13.3%的耳数正常。1 000 Hz探测音鼓室声导抗与DPOAE和ABR波Ⅰ潜伏期的一致性优于226 Hz探测音。结论 多数腭裂婴幼儿伴有听力损失和中耳功能障碍,需结合多项检查评估其听力状况。

关键词: 腭裂, 婴幼儿, 听力损失, 中耳功能障碍

Abstract:

Objective To study the audiological and otological status of cleft palate infants with the application of distortion product otoacoustic emission (DPOAE),auditory brainstem response (ABR),tympanometry with 1 000 Hz and 226 Hz probe tones. Methods Totally 45 cleft palate infants aged 8-24 months were included in the study. Most of them were examined for DPOAE,ABR and two frequency tympanometry. Results Most infants failed the three tests,among whom 6.7% ears passed DPOAE and 33.3% of ears had normal ABR hearing threshold. In addition,8.9% of ears turned out normal in the 1 000 Hz probe-tone tympanometry,and 13.3% were type A in the 226 Hz probe-tone tympanometry. Finally,1 000 Hz tympanometry had more agreement with DPOAE and latency of ABR waveⅠ than 226 Hz tympanometry. Conclusion Most cleft palate infants have audiological and otological problems,which should be evaluated in a more comprehensive manner.

Key words: cleft palate, infant, hearing loss, middle ear dysfunction

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