Application of ABR Wave Ⅰ Latency and 1 000 Hz Acoustic Immittance in the Evaluation of Middle Ear Function in Infants
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3969/j.issn.1006-7299.2024.05.013
   		
        
        	
        		- VernacularTitle:ABR波Ⅰ潜伏期与1 000 Hz声导抗评估6月龄内婴儿中耳功能
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Qiuxia XUE
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Shuijun ZHONG
			        		
			        		;
		        		
		        		
		        		
			        		Jiaping WU
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 浙江中医药大学(杭州 310053);嘉兴市妇幼保健院(嘉兴学院附属妇儿医院)耳鼻咽喉科
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		ABR wave Ⅰ latency;
			        		
			        		
			        		
				        		1 000 Hz acoustic immittance;
			        		
			        		
			        		
				        		Infants;
			        		
			        		
			        		
				        		Middle ear function
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Journal of Audiology and Speech Pathology
	            		
	            		 2024;32(5):445-447
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	Objective To investigate the clinical value of auditory brainstem response(ABR)wave Ⅰ latency and 1 000 Hz acoustic immittance in the assessment of middle ear function in infants.Methods A total of 74 infants who were born within 6 months of age from 2020 to 2021 were selected,with a total of 148 ears.According to the click ABR(hereinafter referred to as ABR)threshold,they were divided into mild group(56 ears),moderate group(14 ears)and normal group(78 ears).The ABR wave Ⅰ latency and 1 000 Hz acoustic immittance results were ana-lyzed respectively.Results The Kappa values between ABR wave Ⅰ latency and 1 000 Hz tympanometry in infants of mild and moderate groups were 0.708 and 0.650,respectively.There was no significant difference in the detec-tion rate of middle ear function abnormality(P>0.05)in infants with mild and moderate threshold impairment within 6 months of age.The paried Chi-square test showed a significant difference between the ABR wave Ⅰ latency and 1 000 Hz acoustic immittance in infants with normal threshold at 6 month of age(P<0.05),with a Kappa val-ue of 0.297.Conclusion The middle ear function could be evaluated by ABR wave Ⅰ latency or 1 000 Hz acoustic immittance in 6-month-old infants with mild or moderate abnormality.For infants with normal ABR threshold,1 000 Hz acoustic immittance and the latency of ABR wave Ⅰ need to be cross-verified.