摘要
目的探究听觉诱发电位(auditory evoked potential,AEP)检查P1波峰、P1潜伏期与外中耳畸形患儿术后听觉行为分级(CAP)及言语可懂度分级(SIR)的相关性及对听力改善的评估价值。方法选取我院2017年1月~2019年1月外中耳畸形患儿82例,比较术前、术后12个月P1波峰、P1潜伏期、CAP、SIR分级,分析其相关性,采用有意义听觉整合量表(MAIS)评分评价术后12个月患儿听力康复情况,比较患儿临床资料、P1波峰、P1潜伏期,评价P1波峰、P1潜伏期对听力改善的评估价值。结果术后12个月P1波峰低于术前,P1潜伏期短于术前,CAP、SIR分级高于术前(P<0.05);术前、术后12个月P1波峰、P1潜伏期与CAP、SIR分级均呈负相关(P<0.05);不同MAIS评分患儿术前听力损失程度、术前、术后12个月后CAP、SIR分级、P1波峰比较,差异有统计学意义(P<0.05);P1波峰、P1潜伏期联合评估听力改善的曲线下面积(area under the curve,AUC)最大,为0.872,敏感度、特异度分别为74.19%、85.00%。结论P1波峰、P1潜伏期与外中耳畸形患儿术后CAP、SIR分级均存在负相关性,采用AEP检查P1波峰、P1潜伏期在评估人工耳蜗植入术后听力改善方面具有重要价值。
Objective To explore the correlation between auditory evoked potential(AEP)examination P1 peak,P1 latency and postoperative categories of auditory performance(CAP)and speech intelligibility rating(SIR)in children with external and middle ear malformations and the evaluation value of hearing improvement.Methods 82 children with external and middle ear malformations in our hospital from January 2017 to January 2019 were selected as the study subjects.The P1 peak,P1 incubation period,CAP and SIR classification were compared before and 12 months after the operation,and the correlation between P1 peak and P1 incubation period and CAP and SIR classification was analyzed.The meaningful auditory integration scale(MAIS)score was used to evaluate the hearing improvement of children 12 months after the operation,and the clinical data,P1 peak,and P1 latency of children with different MAIS scores were compared.The relationship between P1 peak,P1 latency and MAIS score was analyzed,and the evaluation value of P1peak and P1 latency on hearing improvement was evaluated.Results At 12 months after surgery,the P1 peak was lower than before surgery,the P1 latency was shorter than before surgery,and the CAP and SIR ratings were higher than before surgery(P<0.05);the P1 peak and P1 latency were negatively correlated with the CAP and SIR ratings before surgery and 12 months after surgery(P<0.05);the degree of hearing loss before surgery,the CAP and SIR ratings before surgery and 12 months after surgery,and the P1 peak were statistically significant when comparing children with different MAIS scores(P<0.05).The difference was statistically significant(P<0.05);the AUC for the combined assessment of P1 peak and P1 latency was the highest at 0.872,with sensitivity and specificity of 74.19%and 85.00%respectively.Conclusion P1 peak,P1 latency and postoperative CAP and SIR classification of children with external and middle ear malformations are all negatively correlated.The use of AEP to check P1 peak and P1 latency has important clinical va
作者
刘莹
赵斯君
黄敏
彭湘粤
覃芳华
LIU Ying;ZHAO Si-jun;HUANG Min;PENG Xiang-yue;QIN Fang-hua
出处
《中国听力语言康复科学杂志》
2023年第1期27-31,共5页
Chinese Scientific Journal of Hearing and Speech Rehabilitation
基金
湖南省科技重大专项课题子项目(2019SK1015)。
关键词
听觉诱发电位检查
外中耳畸形
听觉行为分级
言语可懂度分级
听力恢复
Auditory evoked potential examination
Malformation of the outer middle ear
Categories of auditory performance
Speech intelligibility rating
Hearing improvement
