聋校学生中听神经病的调查研究

• 作 者: 王俊国 卜行宽 周爱东 邢光前 石秋兰
• 机 构: 南京医科大学第一附属医院耳鼻咽喉科,南京医科大学第一附属医院耳鼻咽喉科,南京聋人学校,南京医科大学第一附属医院耳鼻咽喉科,南京医科大学第一附属医院耳鼻咽喉科 南京,210029,南京,210029,南
• 出 处: 临床耳鼻咽喉头颈外科杂志
• 发表日期: 2007年10期
• 关键词: 听神经病 听力损失 耳声发射 诱发电位 听觉 脑干 耳蜗微音器电位

目的:获得南京聋人学校在校学生中听神经病的患病情况,并对其发病特征作初步探讨。方法:358名学生接受了耳科检查、声导抗及瞬态诱发性耳声发射(TEOAE)筛查,对通过TEOAE筛查的学生进行病史分析纯音测听、声导抗、诊断型TEOAE、DPOAE、ABR、ENG以及VEMP等全面的听力和前庭功能评估。结果:在可行听神经病评估的323名学生行TEOAE筛查时,1名学生单耳、2名学生双耳显示“通过”,经进一步检查,符合听神经病诊断。结论:听神经病并非罕见,在聋校中亦有发生,对其及早识别和科学干预,此类学生可能避免进入聋校,回归主流社会。

OBJECTIVE: To obtain the prevalence of auditory neuropathy among school-based children in Nanjing Deaf School and to make a preliminary study on their characteristics. Methods: 358 students underwent ear examination, acoustic guidance and transient evoked otoacoustic emissions (TEOAE) screening. The students who passed the TEOAE screening were analyzed by history, pure tone audiometry, acoustic guidance, diagnostic TEOAE, DPOAE, ABR, ENG and VEMP comprehensive assessment of hearing and vestibular function. Results: When TEOAE screening was performed for 323 students who were evaluated for auditory neuropathy, one student with one ear and two students with both ears showed “Passing”, after further examination, they were diagnosed with auditory neuropathy. CONCLUSIONS: Auditory neuropathy is not uncommon and occurs in deaf schools. Early identification and scientific intervention may prevent such students from entering the deaf school and returning to the mainstream.