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目的:探讨听性脑干反应(ABR)与听觉稳态反应(ASSR)在听力复筛未通过婴幼儿早期听力评估中的作用。方法:对233例(466耳)听力复筛未通过的婴幼儿使用ABR、ASSR测试,进行听力学初诊及复诊。分析ABR与ASSR的临床应用情况。结果:233例婴幼儿,在1～3个月时初诊听力正常64例,单耳或双耳听力损失169例,其中轻度88例,中度60例,重度12例,极重度9例。6个月时复诊106例,听力正常60例,听力损失46例,其中轻度12例,中度15例,重度10例,极重度9例。失访63例。结论:ABR与ASSR联合应用可早期发现听力损失,为听力障碍的早期干预提供可靠的依据。
Objective: To investigate the role of auditory brainstem response (ABR) and auditory steady-state response (ASSR) in early hearing assessment of infants who failed to pass the test. Methods: 233 cases (466 ears) failed to pass the hearing screening of infants and young children using ABR, ASSR test for the first time audiology and referral. Analysis of clinical application of ABR and ASSR. Results: In 233 infants and young children, hearing was normal in 64 cases at 1 ~ 3 months and 169 cases with hearing loss in one or both ears, of which 88 were mild, 60 were moderate, 12 were severe and 9 were extremely severe. At 6 months, 106 patients were referred for review, 60 were normal hearing, 46 were hearing loss, 12 were mild, 15 were moderate, 10 were severe and 9 were extremely severe. Lost to visit 63 cases. Conclusion: The combination of ABR and ASSR can detect hearing loss early, and provide a reliable basis for early intervention of hearing impairment.