听力处理障碍 (APD) 的儿童中超声障碍与失声症的听觉特征的回顾性研究
Sabarinath Vijayakumar1, Ansar Uddin Ahmmed1
1Lancashire Teaching Hospitals NHS Foundation Trust, United Kingdom.
International journal of pediatric otorhinolaryngology
|April 23, 2025
概括
患有听觉处理障碍 (APD) 和声音耐受性问题 (如超声症或失声症) 的儿童表现出明显的听觉模式. 对于有耳的儿童,建议对声音耐受性进行评估.
科学领域:
- 听力学 听力学是指听力学.
- 神经科学是一个神经科学.
- 发育儿科 发育儿科
背景情况:
- 发育性听觉处理障碍 (APD) 影响儿童的声音感知和处理.
- 声音耐受性 (DST) 的扭曲,包括声和失声症,是APD常见的并发症.
- 了解APD中DST的听觉特征对于诊断和管理至关重要.
研究的目的:
- 为了比较患有APD的儿童的听力学结果,有或没有DST (超音量,失声症).
- 为了研究纯色值,形反射值 (SRT) 和不舒服的噪音水平 (ULL) 的差异.
- 探索儿童APD中DST,耳声和听力学测量之间的关系.
主要方法:
- 对278名被诊断患有APD的儿童 (6-16岁) 进行了回顾性研究.
- 参与者被分为:仅有超声障,有超声障的失声症和没有DST的组.
- 听力学评估包括纯色门 (0.25-12.5 kHz),SRT和ULLs.
主要成果:
- 与没有DST的儿童相比,患有DST的儿童 (超声,失声) 呈现较低的ULL,特别是在4kHz,相比于没有DST的儿童.
- 在所有组中都观察到更高的高频纯色调平均值,在"带有超声障的异声声"组中差异更为明显.
- 耳的患病率在"带有超声障的失声声症"组中较高,在"没有DST"组中与较低的ULLs相关.
结论:
- 标准的听力学测试并不能区分异声和声.
- 在DST和耳中低的ULLs表明更高层次的大脑网络的参与,需要在患有耳的儿童中对DST进行评估.
- 在APD中,DST和耳应与其他听力困难一起被视为听力障碍.
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