Şule Çekiç, Salihe Erdoğan, Şerife Suna Oğuz, Hakan Mehmet Korkmaz
{"title":"宫内生长受限中的听觉脑干反应。","authors":"Şule Çekiç, Salihe Erdoğan, Şerife Suna Oğuz, Hakan Mehmet Korkmaz","doi":"10.1044/2025_AJA-24-00223","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the auditory brainstem response (ABR) of infants with asymmetric intrauterine growth restriction (IUGR) in response to different stimuli and to compare the findings with those of term infants.</p><p><strong>Method: </strong>A total of 20 infants with asymmetric IUGR who had no risk factors for hearing loss and 20 term healthy infants as a control group participated. Click, chirp, and 4-kHz tone burst at 90 dB nHL stimuli were used, and Waves I, III, and V absolute latencies; Waves I-III, I-V, and III-V interpeak intervals; and wave amplitudes were evaluated.</p><p><strong>Results: </strong>The Wave V absolute latency and Waves I-V interpeak interval of both click and chirp stimuli in infants with asymmetric IUGR were significantly shorter in both ears (<i>p</i> < .05). In contrast, only Wave III absolute latency was significantly shorter for both ears (<i>p</i> < .05) with a 4-kHz tone burst.</p><p><strong>Conclusions: </strong>ABR test with click, chirp, and 4-kHz tone-burst stimuli revealed that there are functional differences attributed to IUGR. Contrary to popular belief, these findings are evidence of neurosensory changes caused by IUGR, which is not included as a risk factor in newborn hearing screening programs. The type of stimulus used in the assessment was critical.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"296-304"},"PeriodicalIF":1.4000,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Auditory Brainstem Response in Intrauterine Growth Restriction.\",\"authors\":\"Şule Çekiç, Salihe Erdoğan, Şerife Suna Oğuz, Hakan Mehmet Korkmaz\",\"doi\":\"10.1044/2025_AJA-24-00223\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the auditory brainstem response (ABR) of infants with asymmetric intrauterine growth restriction (IUGR) in response to different stimuli and to compare the findings with those of term infants.</p><p><strong>Method: </strong>A total of 20 infants with asymmetric IUGR who had no risk factors for hearing loss and 20 term healthy infants as a control group participated. Click, chirp, and 4-kHz tone burst at 90 dB nHL stimuli were used, and Waves I, III, and V absolute latencies; Waves I-III, I-V, and III-V interpeak intervals; and wave amplitudes were evaluated.</p><p><strong>Results: </strong>The Wave V absolute latency and Waves I-V interpeak interval of both click and chirp stimuli in infants with asymmetric IUGR were significantly shorter in both ears (<i>p</i> < .05). In contrast, only Wave III absolute latency was significantly shorter for both ears (<i>p</i> < .05) with a 4-kHz tone burst.</p><p><strong>Conclusions: </strong>ABR test with click, chirp, and 4-kHz tone-burst stimuli revealed that there are functional differences attributed to IUGR. Contrary to popular belief, these findings are evidence of neurosensory changes caused by IUGR, which is not included as a risk factor in newborn hearing screening programs. The type of stimulus used in the assessment was critical.</p>\",\"PeriodicalId\":49241,\"journal\":{\"name\":\"American Journal of Audiology\",\"volume\":\" \",\"pages\":\"296-304\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-06-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Audiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1044/2025_AJA-24-00223\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/7 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Audiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1044/2025_AJA-24-00223","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/7 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的：探讨不对称宫内生长受限（IUGR）婴儿对不同刺激的听觉脑干反应（ABR），并与足月儿进行比较。方法：选取20例无听力损失危险因素的非对称IUGR患儿和20例足月健康婴儿作为对照组。使用90 dB nHL刺激下的咔嗒声、啁啾声和4 khz音爆发，以及波I、III和V的绝对潜伏期；波I-III、I-V和III-V峰间间隔；并计算了波幅。结果：不对称IUGR患儿的V波绝对潜伏期和I-V波峰间间隔均明显短于非对称IUGR患儿（p < 0.05）。相比之下，只有波III绝对潜伏期显著缩短双耳（p < 0.05）与4 khz的音调爆发。结论：ABR测试显示IUGR引起的功能差异。与普遍的看法相反，这些发现是IUGR引起的神经感觉变化的证据，这并不包括在新生儿听力筛查计划中的风险因素。评估中使用的刺激类型至关重要。
Auditory Brainstem Response in Intrauterine Growth Restriction.
Purpose: The purpose of this study was to evaluate the auditory brainstem response (ABR) of infants with asymmetric intrauterine growth restriction (IUGR) in response to different stimuli and to compare the findings with those of term infants.
Method: A total of 20 infants with asymmetric IUGR who had no risk factors for hearing loss and 20 term healthy infants as a control group participated. Click, chirp, and 4-kHz tone burst at 90 dB nHL stimuli were used, and Waves I, III, and V absolute latencies; Waves I-III, I-V, and III-V interpeak intervals; and wave amplitudes were evaluated.
Results: The Wave V absolute latency and Waves I-V interpeak interval of both click and chirp stimuli in infants with asymmetric IUGR were significantly shorter in both ears (p < .05). In contrast, only Wave III absolute latency was significantly shorter for both ears (p < .05) with a 4-kHz tone burst.
Conclusions: ABR test with click, chirp, and 4-kHz tone-burst stimuli revealed that there are functional differences attributed to IUGR. Contrary to popular belief, these findings are evidence of neurosensory changes caused by IUGR, which is not included as a risk factor in newborn hearing screening programs. The type of stimulus used in the assessment was critical.
期刊介绍：
Mission: AJA publishes peer-reviewed research and other scholarly articles pertaining to clinical audiology methods and issues, and serves as an outlet for discussion of related professional and educational issues and ideas. The journal is an international outlet for research on clinical research pertaining to screening, diagnosis, management and outcomes of hearing and balance disorders as well as the etiologies and characteristics of these disorders. The clinical orientation of the journal allows for the publication of reports on audiology as implemented nationally and internationally, including novel clinical procedures, approaches, and cases. AJA seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work.
Scope: The broad field of clinical audiology, including audiologic/aural rehabilitation; balance and balance disorders; cultural and linguistic diversity; detection, diagnosis, prevention, habilitation, rehabilitation, and monitoring of hearing loss; hearing aids, cochlear implants, and hearing-assistive technology; hearing disorders; lifespan perspectives on auditory function; speech perception; and tinnitus.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
