听性脑干反应结合纯音听阈测定对突发性耳聋诊断及预后评估的作用

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Abstract Objective To investigate the effectiveness of combination of application of auditory brainstem response(ABR)and pure tone audiometry(PTA)in the diagnosis and prognosis of sudden deafness.Methods Altogether 50 cases of patients with sudden deafness(53 ears)who were treated in our department from March 2016 to March 2017 underwent pure tone audiometry were selected,and their curve features included low frequency descent type (14 ears),high frequency descent type(13 ears),flat type(17 ears)and extremely severe type(9 ears).Corresponding treatment was given according to the different types,with 14 days for a course of treatment,and then the curative effect was determined.At the same time,ABR of sudden deafness patients was detected to observe the correlation between ABR threshold and subjective thresholds.The therapeutic effect was also observed between sudden hearing loss patients without ABR waveform(group A,15 ears)and with ABR waveforms(group B,38 ears).Results After treatment,17 ears of patients with sudden deafness were cured,14 ears showed effect and 8 ears were effective.The total effective rate of treatment was 73.58%.The threshold of group B patients with ABR waveforms was 10 to 20 dB which was higher than that of subjective threshold,with a good correlation(Y=1.8623-0.8741X,r=0.8741).The total effective rate of group A was 33.33%,and group B was 89.45%,with significant difference between the two groups(χ2=6.603,P=0.005).Conclusion Combination of application of ABR and PTA not only can be used for the diagnosis and classification of patients with sudden deafness,ABR also can be used as indicators to predict the prognosis of sudden deafness.Patients with ABR waveform have good treatment effect,while,patients without ABR waveform have bad treatment effect.

Key words： Deafness Sudden deafness Auditory brainstem response

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	Articles by authors
	JIANG Jun-he
	ZHANG Song
	YUAN Fo-liang
	XING Hai-jie
	DING Xiao-mei

Cite this article:

JIANG Jun-he,ZHANG Song,YUAN Fo-liang, et al. Effectiveness of auditory brainstem response plus pure tone audiometry in the diagnosis and prognosis of sudden deafness[J]. 中国当代医药, 2018, 25(8): 89-91转94.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I8/89

[1]	中华耳鼻咽喉头颈外科杂志编辑委员会，中华医学会耳鼻咽喉头颈外科学分会.突发性聋诊断和治疗指南（2015）[J].中华耳鼻咽喉头颈外科杂志，2015，50（6）：443-447.
[2]	中国突发性聋多中心临床研究协作组.中国突发性聋分型治疗的多中心临床研究[J].中华耳鼻咽喉头颈外科杂志，2013，48（5）：355-361.
[3]	黄治物.婴幼儿听力损失的早期诊断评估及干预[J].听力学及言语疾病杂志，2013，21（3）：325-326.
[4]	张鸿雁.260例听力残疾患者ABR结果分析[J].现代电生理学杂志，2014，21（1）：26-28.
[5]	何兴丽，冉文婧，王永义，等.主客观听力检测相关性研究进展[J].中国工业医学杂志，2017，30（1）：29-32.
[6]	王涛，梁建平，陆秋天，等.听力正常青年ASSR、Tone-pipABR与纯音听阈结果分析[J].医学理论与实践，2013，26（7）：855-858.
[7]	李兴启.几种常用听觉诱发反应测听的比较[J].中国听力语言康复科学杂志，2008，5（4）：10-14.
[8]	王会芳，李连贺.正常青年人ASSR和click-ABR与纯音听阈测定的相关性研究[J].医学美学美容，2015，18（5）：285-286.
[9]	王涛，梁建平，陆秋天，等.短声诱发听性脑干反应阈与不同听力构型纯音听阈相关性探讨[J].中国临床新医学，2013，6（5）：429-433.
[10]	王漾，彭丹丹，叶放蕾.Tb-ABR和ASSR在小儿听力评估中的应用[J].临床耳鼻咽喉头颈外科杂志，2015，29（10）：906-924.
[11]	易旺，白忠.突发性聋的治疗进展[J].现代临床医学，2017，43（3）：163-165.
[12]	郭保珂，张光辉，辛青松.突发性耳聋与血液流变学和甲襞微循环改变的关系[J].现代诊断与治疗，2012，23（6）：809-810.
[13]	孙永柱，崔鹏程，高鹏飞，等.椎-基底动脉供血不足性眩晕ENG和ABR检测的意义[J].中国现代医学杂志，2012，22（27）：99-102.
[14]	Nario K，Matsunaga T，Inui H，et al.ABR findings，electrocochleograms and caloric tests in vertebrobasilar ischemic rats[J].Acta Otolaryngol Suppl，1997，528：63-66.
[15]	Busaba NY，Rauch SD.Significance of auditory brain stem response and gadolinium-enhanced magnetic resonance imaging for idiopathic sudden sensorineural hearing loss[J].Otolaryngol Head Neck Surg，1995，113（3）：271-275.