宽频声导抗在婴幼儿听力筛查中的应用研究

宋 婷霞
杭州市儿童医院

摘要


目的:总结宽频声导抗在婴幼儿听力筛查中的最新应用进展,探讨其在提高筛查准确性和中耳功能评估中
的作用。方法:检索中国知网、万方数据库和PubMed等数据库中的相关文献,筛选高质量的临床研究和系统综述。
结果:与传统的226 Hz和1000 Hz声导抗相比,宽频声导抗在检测婴幼儿中耳异常方面具有更高的敏感性和特异性。
将宽频声导抗与OAE和AABR联合使用,可显著降低婴幼儿听力筛查的假阳性率。宽频声导抗的结果受年龄、种
族、外耳道压力等因素影响,但通过标准化测试方法和建立统一的参考标准,可提高结果的可靠性。结论:宽频声
导抗在婴幼儿听力筛查中具有重要的临床价值,能够提高中耳疾病的检出率和诊断准确性。应加强大规模、多中心
的研究,完善参考标准和测试规范,促进宽频声导抗在婴幼儿听力筛查中的广泛应用。

关键词


宽频声导抗;听力筛查;中耳功能评估

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