Combined application of auditory brainstem response and auditory steady-state response in the evaluation of infants with mild sensorineural hearing loss
10.3969/j.issn.1006-5725.2024.16.017
- VernacularTitle:听性脑干反应与多频稳态反应联合评估婴儿轻度感音神经性听力损失的研究
- Author:
Qiuya JIANG
1
;
Qiuying XIE
;
Yu HUANG
;
Chao HUANG
;
Hongli LAN
;
Maojie LIU
;
Dan LAI
Author Information
1. 西南医科大学附属医院耳鼻咽喉头颈外科(四川泸州 646000)
- Keywords:
mild sensorineural hearing loss;
auditory brainstem response;
auditory steady-state response;
infant
- From:
The Journal of Practical Medicine
2024;40(16):2305-2310
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the significance of auditory brainstem response(ABR)combined with auditory steady-state response(ASSR)for the assessment of mild sensorineural hearing loss in infants.Methods Data from 114 infants with mild sensorineural hearing loss were retrospectively analyzed,and their ABR and ASSR results were collected for rank sum test and correlation analysis.Results In the rank sum test,the difference in thresholds between tone-burst ABR(Tb-ABR)and ASSR at 0.5,1,2,4 kHz was statistically significant(P＜0.05),and they were also correlated at 0.5,1,2,4 kHz(P＜0.05),r=0.613,0.569,0.616,0.71.After grouping by gender and ear,there was a correlation between ABR and ASSR at 0.5,1,2,and 4 kHz,male:r=0.61,0.56,0.671,0.774;female:r=0.581,0.558,0.546,0.608;left ear:r=0.61,0.558,0.576,0.715;right ear:r=0.631,0.581,0.662,0.71.And after grouping by age at diagnosis,only infants diagnosed from 7～12 months of age did not correlate at 0.5 kHz and 1 kHz(P＞0.05),while the rest of the groups had a good correlation(P＜0.05),0～3 months:r=0.686,0.643,0.671,0.742;4～6 months:r=0.671,0.626,0.616,0.693;7～12 months at 2 kHz and 4 kHz:r=0.571,0.706.Conclusion In infants with mild sensorineural hearing loss,ABR and ASSR correlate in assessing hearing thresholds at all frequencies,and the combination of the two tests could provide a more accurate assessment of the subject's true hearing.
