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The clinical application of hearing prediction methods by means of acoustic reflex in hearing screening programs of children

机译:声反射预测听力的方法在儿童听力筛查中的临床应用

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Background: hearing loss is a major health care problem that tends to retard the developmental milestones of children. It takes early detection and intervention to avoid a permanent loss in acquisition of speech and cognitive functions. Hence, the importance of hearing screening in all children especially in the developing world for accurate statistics and early intervention is clear. This work was aimed at predicting hearing in children by means of acoustic reflex measurementsMethod: In this study which was performed in 1995, 146 ears(86 children aged between 5-10years old referring to audio logy clinic in Tehran university of medical sciences between august 1995 and February 1996) were evaluated (amongst 95 were normal and 51 ears with SNHL<84dB).the methods Niemeyer and Destrehan formula ,Lilly2 equation, un weighed Sensitivity prediction by acoustic reflex, weighed sensitivity prediction by acoustic reflex to establish their clinical viability.Results: findings demonstrated that weighed sensitivity prediction by acoustic reflex(WASPAR) have a good correlation with conventional audiometric evaluation(K=.78) and also it has good sensitivity, Specificity , Negative predicted value(NPA) and positive predicted value (PPV).Conclusion: In case that conventional audiometry is not applicable, WASPAR is a good objective choice in lieu of subjective tests.
机译:背景:听力损失是一个主要的医疗保健问题,往往会延误儿童的发展里程碑。需要尽早发现并采取干预措施,以免永久丧失言语和认知功能。因此,听力筛查对于所有儿童尤其是发展中国家的儿童进行准确统计和早期干预非常重要。这项工作旨在通过声反射测量法预测儿童的听力方法:该研究于1995年进行,研究对象为146耳(86名5-10岁的儿童,1995年8月至德黑兰医科大学的听力学门诊) (1996年2月和1996年2月)进行了评估(其中95例正常耳朵和51例SNHL <84dB的耳朵)。方法Niemeyer和Destrehan公式,Lilly2方程,未加权的声反射预测,通过声反射的加权预测确定其临床可行性。结果:结果表明,声反射法加权灵敏度预测(WASPAR)与常规听觉评估具有良好的相关性(K = .78),并且灵敏度,特异性,阴性预测值(NPA)和阳性预测值(PPV)均良好。结论:在常规测听不适用的情况下,WASPAR是代替主观测试的理想客观选择。

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