听力损失婴幼儿短纯音听性脑干反应与IT-MAIS评分的相关性

黄薇; 耿江桥; 孙倩; 许敏; 温鑫; 黄爱萍

doi:10.3969/j.issn.1672-4933.2024.05.011

您当前的位置：

首页 >

文章列表页 >

听力损失婴幼儿短纯音听性脑干反应与IT-MAIS评分的相关性

临床研究 | 更新时间：2024-09-05

- 听力损失婴幼儿短纯音听性脑干反应与IT-MAIS评分的相关性
- The Correlation between Tone Burst Auditory Brainstem Response and IT-MAIS Score in Infants with Hearing Loss
- 中国听力语言康复科学杂志 2024年22卷第5期页码：495-498
- 作者机构：
  
  河北省儿童医院耳鼻咽喉科石家庄 150000
- 作者简介：
  
  黄薇本科主管护师；研究方向：儿童听力学
  耿江桥，E-mail：gjqent@126.com
- 基金信息：
  
  河北省医学科学研究课题(20190805)
- DOI：10.3969/j.issn.1672-4933.2024.05.011
  中图分类号： R764.4
- 纸质出版日期：2024-09-15，
  
  收稿日期：2024-01-29，
- 稿件说明：
移动端阅览
黄薇,耿江桥,孙倩等.听力损失婴幼儿短纯音听性脑干反应与IT-MAIS评分的相关性[J].中国听力语言康复科学杂志,2024,22(05):495-498.

HUANG Wei,GENG Jiang-qiao,SUN Qian,et al.The Correlation between Tone Burst Auditory Brainstem Response and IT-MAIS Score in Infants with Hearing Loss[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(05):495-498.
黄薇,耿江桥,孙倩等.听力损失婴幼儿短纯音听性脑干反应与IT-MAIS评分的相关性[J].中国听力语言康复科学杂志,2024,22(05):495-498. DOI： 10.3969/j.issn.1672-4933.2024.05.011.

HUANG Wei,GENG Jiang-qiao,SUN Qian,et al.The Correlation between Tone Burst Auditory Brainstem Response and IT-MAIS Score in Infants with Hearing Loss[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(05):495-498. DOI： 10.3969/j.issn.1672-4933.2024.05.011.

摘要

目的

探究听力损失婴幼儿短纯音听性脑干反应（tb-ABR）与婴幼儿有意义听觉整合量表（infant-toddler meaningful auditory integration scale，IT-MAIS）评分的相关关系。

方法

选择2020年11月～2023年11月我院收治的120例听力损失婴幼儿作为研究组，同时选择在医院行听力检查的健听婴幼儿50例作为对照组，患者均行tb-ABR测定及IT-MAIS评估，比较两组tb-ABR阈值与IT-MAIS评分的差异，分析tb-ABR阈值与IT-MAIS评分相关性，分析以上两项指标对听力损失的评估价值，比较不同听力损失患儿tb-ABR阈值、IT-MAIS评分，分析以上两项指标与听力损失程度的相关性。

结果

研究组婴幼儿平均听阈在0.5、1、2、4 kHz情况下测定tb-ABR阈值均高于对照组，IT-MAIS评分低于对照组（

＜0.05）；Pearson相关性分析显示，在0.5、1、2、4 kHz情况下，tb-ABR阈值与IT-MAIS评分呈负相关关系（

=-0.511，-0.432，-0.309，-0.472；

＜0.05）；受试者工作特征曲线显示，在0.5、1、2、4 kHz情况下测定tb-ABR阈值与IT-MAIS评分在婴幼儿听力损失诊断曲线下面积（area under the curve，AUC）值依次为0.769、0.797、0.662、0.713、0.829；随着患者听力损失程度加重，平均听阈，0.5、1、2、4 kHz情况下测定tb-ABR阈值逐渐上升，而IT-MAIS评分逐渐降低（

＜0.05）；Spearman相关性分析显示，tb-ABR阈值与婴幼儿听力损失程度正相关（

=0.576，0.411，0.457，0.486；

＜0.05），IT-MAIS评分与婴幼儿听力损失程度负相关关系（

=-0.418；

＜0.05）。

结论

tb-ABR与IT-MAIS存在相关性，两者不仅可以用于听力损失婴幼儿诊断，还可用于评估患儿听力损失程度。

Abstract

Objective

To explore the relationship between tone burst auditory brainstem response (tb-ABR) and IT-MAIS score in infants with hearing loss.

Methods

120 infants with hearing loss admitted to the hospital from November 2020 to November 2023 were selected as the study group

and 50 infants with normal hearing underwent hearing examination in the hospital were selected as the control group. All the patients underwent tb-ABR measurement and IT-MAIS score evaluation. The tb-ABR threshold and IT-MAIS score of the two groups were compared and their correlation was analyzed. The value of tb-ABR threshold and IT-MAIS score for hearing loss were evaluated

while tb-ABR threshold and IT-MAIS score in infants with different hearing loss were compared

and the correlation between tb-ABR threshold

IT-MAIS score and the degree of hearing loss was analyzed.

Results

The tb-ABR threshold in the study group was higher than that in the control group at the average hearing thresholds of 0.5 kHz

1 kHz

2 kHz and 4 kHz

and the IT-MAIS score was lower (

0.05). Pearson correlation analysis showed that the tb-ABR threshold was negatively correlated with the IT-MAIS score at 0.5 kHz

1 kHz

2 kHz and 4 kHz (r=-0.511

-0.432

-0.309

-0.472;

0.05). The receiver operating characteristic curve showed that the AUC values of tb-ABR threshold and IT-MAIS score in the diagnosis of infant hearing loss were 0.769

0.797

0.662

0.713 and 0.829 respectively at the conditions of average hearing threshold

0.5 kHz

1 kHz

2 kHz and 4 kHz. With the severity of hearing loss

the tb-ABR threshold increased gradually

while the IT-MAIS score decreased at 0.5 kHz

1 kHz

2 kHz and 4 kHz (

0.05). Spearman correlation analysis showe

d that the tb-ABR threshold was positively correlated with the degree of hearing loss in infants at 0.5 kHz

1 kHz

2 kHz and 4 kHz (r=0.576

0.411

0.457

0.486;

0.05)

and the IT-MAIS score was negatively correlated with the degree of hearing loss (

=-0.418;

0.05).

Conclusions

tb-ABR is related to IT-MAIS

which can be used not only to diagnose hearing loss in infants

but also to assess the severity of hearing loss.

关键词

听力损失短纯音听性脑干反应婴幼儿有意义听觉整合量表评分相关性

Keywords

Hearing lossTone burst auditory brainstem responseIT-MAIS scoreCorrelation

references

熊芬, 谢林怡, 史伟, 等. 婴幼儿单侧听力损失的听力学特征分析[J]. 临床耳鼻咽喉头颈外科杂志, 2023, 37(3): 169-173.

Buran BN, Elkins S, Kempton JB, et al. Optimizing Auditory Brainstem Response Acquisition Using Interleaved Frequencies[J]. J Assoc Res Otolaryngol, 2020, 21(3): 225-242.

Kaf WA, Reiter S, Brodeur A, et al. Tone-Burst Auditory Brainstem Response and Cortical Potentials in Diagnosis of Syndromic Auditory Neuropathy Spectrum Disorder[J]. J Audiol Otol, 2023, 27(3): 153-160.

Silva BCS, Jacob-Corteletti LCB, Sassi TSDS, et al. Contralateral Masking in the Measurement of Auditory Brainstem Responses with Air-Conducted Tone Burst Stimuli in Individuals with Unilateral Hearing Loss[J]. J Am Acad Audiol, 2021, 32(4): 254-260.

Sbeih F, Goldberg DM, Liu S, et al. Auditory testing outcomes with hearing aids in patients with auditory neuropathy spectrum disorder[J]. Am J Otolaryngol, 2021, 42(5): 103057-103067.

国家卫生和计划生育委员会新生儿疾病筛查听力诊断治疗组. 婴幼儿听力损失诊断与干预指南[J]. 中华耳鼻咽喉头颈外科杂志, 2018, 53(3): 181-188.

Cavicchiolo S, Mozzanica F, Guerzoni L, et al. Early prelingual auditory development in Italian infants and toddlers analysed through the Italian version of the Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS)[J]. Eur Arch Otorhinolaryngol, 2018, 275(2): 615-622.

Turner K, Moshtaghi O, Saez N, et al. Auditory Brainstem Response Wave I Amplitude Has Limited Clinical Utility in Diagnosing Tinnitus in Humans[J]. Brain Sci, 2022, 12(2): 142-153.

马孝宝, 沈佳丽, 汪玮, 等. 健听幼儿短纯音ABR波V强度-潜伏期函数模型构建[J]. 听力学及言语疾病杂志, 2023, 31(4): 299-304.

Sakata H, Kaga K. Evoked Potentials by Tone Burst on the Auditory Cortices in Cats -Comparison of Off Responses in Awake and Anesthetized Conditions[J]. Int Tinnitus J, 2023, 27(1): 82-88.

户红艳, 王乐, 李玲, 等. 短纯音ABR和NB CE-Chirp ASSR在陡降型听力损失中的应用[J]. 中华耳科学杂志, 2021, 19(5): 774-780.

季慧, 王莹莹, 范晔, 等. 婴幼儿听性脑干反应、短纯音听性脑干反应与行为测听的相关性及其诊断价值分析[J]. 临床和实验医学杂志, 2023, 22(15): 1646-1650.

Yang F, Zhao F, Zheng Y, et al. Modification and verification of the Infant-Toddler Meaningful Auditory Integration Scale: a psychometric analysis combining item response theory with classical test theory[J]. Health Qual Life Outcomes, 2020, 18(1): 367-372.

Garadat SN, Almasri NA. Translation, adaptation, and validation of the Arabic version of the meaningful auditory integration scale[J]. Cochlear Implants Int, 2023, 24(1): 35-42.

顾海玲, 孔维丽, 尹晓玲, 等. logistic回归联合ROC曲线评价IT-MAIS得分在预测0～36月龄婴幼儿听力损失程度中的诊断价值[J]. 临床耳鼻咽喉头颈外科杂志, 2022, 36(2): 109-114.

蔡爱军, 逯鹏. 双侧人工耳蜗植入与双模式干预对低龄语前聋患者康复效果对比[J]. 中国听力语言康复科学杂志, 2023, 21(4): 377-381.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

儿童语言障碍门诊中84例听力障碍病例特点分析

助听器即刻体验对听障老人自尊感和助听器评价的影响

远程测听技术的研究与应用进展

精细听觉能力评估平台的建立和应用研究

糖尿病患者听力损害的发生机制