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听觉平稳状态响应与行为声学在婴儿听力估计中的关系:元分析
Xin Huang1, Karolina Kluk1, Emanuele Perugia2
1Manchester Centre for Audiology and Deafness (ManCAD), School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Systematic reviews
|December 3, 2025
概括
听觉稳定状态响应 (ASSR) 准确预测行为听力测量 (BA) 婴儿的听力值. 由于研究异质性,需要进一步的研究,但ASSR是早期识别听力损失的可靠工具.
科学领域:
- 听力学 听力学是指听力学.
- 儿科医学 儿科医学
- 听力科学 听力科学
背景情况:
- 听觉稳态响应 (ASSR) 对于识别婴儿听力损失至关重要,使早期干预成为可能.
- 评估ASSR在确定婴儿听力值方面的准确性对于有效的临床实践至关重要.
- 本系统性审查评估了ASSR和婴儿行为声学 (BA) 值之间的差异.
研究的目的:
- 系统地审查和量化空气导管ASSR和婴儿BA之间的值差异.
- 评估ASSR作为儿科患者听力值预测指标的准确性.
主要方法:
- 在PubMed,Web of Science,Cochrane和Embase进行了系统的文献搜索.
- 包括2岁以下的婴儿,比较ASSR值与BA值.
- 评估了偏差风险,并计算了0.5,1,2和4kHz的95%置信区间的平均值差异.
主要成果:
- 包含2845个值的7项研究被纳入了元分析,表明中等质量和高异质性.
- 在测试频率上,ASSR和BA值之间的平均差异在6.35dB到9.24dB之间.
- 结果显示,ASSR提供了对婴儿BA听力值的合理准确预测.
结论:
- ASSR在预测婴儿行为听力学值方面表现出合理的准确性.
- 研究中的显著异质性凸显了进一步研究的必要性.
- 建议进行较大的婴儿队列研究,以完善ASSR的准确性,以确定听力值.
相关概念视频
Hearing
When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
The Cochlea
The cochlea is a coiled structure in the inner ear that contains hair cells—the sensory receptors of the auditory system. Sound waves are transmitted to the cochlea by small bones attached to the eardrum called the ossicles, which vibrate the oval window that leads to the inner ear. This causes fluid in the chambers of the cochlea to move, vibrating the basilar membrane.
Perception of Sound Waves
The human ear is not equally sensitive to all frequencies in the audible range. It may perceive sound waves with the same pressure but different frequencies as having different loudness. Moreover, the perception of sound waves depends on the health of an individual's ears, which decays with age. The health of one's ears may also be affected by regular exposure to loud noises.
The pitch of a sound depends on the frequency and the pressure amplitude of the source. Two sounds of the same frequency...
The pitch of a sound depends on the frequency and the pressure amplitude of the source. Two sounds of the same frequency...
Sound Intensity Level
Humans perceive sound by hearing. The human ear helps sound waves reach the brain, which then interprets the waves and creates the perception of hearing. The loudness of the environment in which a person is located determines whether they can distinguish between different sound sources.
The human ear can perceive an extensive range of sound intensity, necessitating the use of the logarithmic scale to define a physical quantity—the intensity level. It is a ratio of two intensities and hence a...
The human ear can perceive an extensive range of sound intensity, necessitating the use of the logarithmic scale to define a physical quantity—the intensity level. It is a ratio of two intensities and hence a...
Echo
The human ear cannot distinguish between two sources of sound if they happen to reach within a specific time interval, typically 0.1 seconds apart. More than this, and they are perceived as separate sources.
Imagine the sound is reflected back to the ears. Assuming that the source is very close to the human, the difference between hearing the two sounds—the emitted sound and the reflected sound—may be more than the minimum time for perceiving distinct sounds. If this is the case, then the...
Imagine the sound is reflected back to the ears. Assuming that the source is very close to the human, the difference between hearing the two sounds—the emitted sound and the reflected sound—may be more than the minimum time for perceiving distinct sounds. If this is the case, then the...
Perceiving Loudness, Pitch, and Location
The human brain perceives pitch through two primary mechanisms reflected in place theory and frequency theory. Each mechanism describes how sound waves are interpreted as specific pitches by the brain, offering insights into the intricate processes of auditory perception.
Place theory, or place coding, suggests that different pitches are heard because various sound waves activate specific locations along the cochlea's basilar membrane. The brain determines the pitch of a sound by identifying...
Place theory, or place coding, suggests that different pitches are heard because various sound waves activate specific locations along the cochlea's basilar membrane. The brain determines the pitch of a sound by identifying...

