嬰幼兒聽(tīng)力評(píng)估課件

嬰幼兒聽(tīng)力評(píng)估嬰幼兒聽(tīng)力評(píng)估1嬰幼兒聽(tīng)力評(píng)估嬰幼兒聽(tīng)力評(píng)估2評(píng)后依據(jù)美國(guó)嬰幼兒聽(tīng)力聯(lián)合會(huì)2007年形勢(shì)報(bào)告新生兒及嬰幼兒早期聽(tīng)力檢測(cè)及干預(yù)指南(草案)評(píng)后依據(jù)3平信原則一ge和Haye(1976)提出測(cè)試組合的概念,多項(xiàng)測(cè)試結(jié)果互相驗(yàn)證,從而得出聽(tīng)力損失的程度,性質(zhì)和部位的結(jié)論測(cè)試方法的采用及結(jié)果評(píng)定必須適合發(fā)育年齡0聽(tīng)性行為測(cè)試結(jié)果與生理學(xué)測(cè)試結(jié)果交叉核對(duì)參考家長(zhǎng)觀察到的被測(cè)試兒平日聽(tīng)到聲音后的反應(yīng)平信原則一4新生兒及嬰幼兒早期聽(tīng)力檢測(cè)及干預(yù)指南(草案)對(duì)于3歲內(nèi)的嬰幼兒,為確定是否存在永久性聽(tīng)力損失,應(yīng)進(jìn)行至少包括小兒行為測(cè)聽(tīng)、ABR、多頻穩(wěn)態(tài)誘發(fā)電位(ASSR)、誘發(fā)性耳聲發(fā)射(EOAE和聲導(dǎo)抗測(cè)試在內(nèi)的全面的聽(tīng)力學(xué)檢查新生兒及嬰幼兒早期聽(tīng)力檢測(cè)及干5①?gòu)某錾?個(gè)月內(nèi)嬰幼兒的聽(tīng)力學(xué)評(píng)估:以電生理測(cè)試為主,即診斷性O(shè)AE,kHz聲導(dǎo)抗測(cè)試,短聲及短純音ABR,AERP,AS5R和骨導(dǎo)ABR等,并結(jié)合小兒行為測(cè)聽(tīng)進(jìn)行交叉驗(yàn)證,以確定聽(tīng)力損失的程度①?gòu)某錾?個(gè)月內(nèi)嬰幼兒的聽(tīng)力學(xué)評(píng)估:6②從6個(gè)月到36個(gè)月嬰幼兒的聽(tīng)力學(xué)評(píng)估:以小兒行為測(cè)聽(tīng)為主,評(píng)估聽(tīng)力損失的程度;如果行為測(cè)聽(tīng)不可靠或以前未做過(guò)ABR,應(yīng)進(jìn)行ABR加有頻率特性的聽(tīng)誘發(fā)電位測(cè)試,以評(píng)估聽(tīng)力損失的程度,性質(zhì)和部位;必要時(shí)進(jìn)行顳骨薄層CT檢查,以評(píng)估聽(tīng)力損失的性質(zhì)和部位②從6個(gè)月到36個(gè)月嬰幼兒的聽(tīng)力學(xué)評(píng)估:7用于嬰幼兒聽(tīng)力評(píng)估的幾種分用撿查法的價(jià)值和限度用于嬰幼兒聽(tīng)力評(píng)估的幾種8理物理測(cè)方法廳為觀寒測(cè)聽(tīng)(BOA)給予萊一強(qiáng)度的聲刺激后,觀幼兒是否產(chǎn)生了一個(gè)可寒覺(jué)的行為反應(yīng),適用于6個(gè)月內(nèi)的肌幼兒視覺(jué)強(qiáng)化測(cè)嚌(VRA)通過(guò)聲刺激配合帶光源的木偶建立永件反射后,給予某一強(qiáng)度的廣刺激,觀察嬰幼兒對(duì)光、木偶確定反應(yīng)。適用于6個(gè)月2歲的幼兒。理物理測(cè)方法9優(yōu)點(diǎn)聽(tīng)覺(jué)的概念包括對(duì)聲音的感受和認(rèn)知。感受是前提,認(rèn)知才是目的,聲的認(rèn)知是理聲學(xué)過(guò)程聽(tīng)覺(jué)是對(duì)聲音的行為反應(yīng),反映從周緣到中樞整個(gè)聽(tīng)覺(jué)過(guò)程,包含的佔(zhàn)息量最大聽(tīng)周是行為反應(yīng)的結(jié)果不同頻率聲音測(cè)試,可據(jù)此確定聽(tīng)力圖構(gòu)形言語(yǔ)測(cè)聽(tīng)可了解中樞病變優(yōu)點(diǎn)10度受試者參與行為測(cè)聽(tīng)代表的是周上反應(yīng),不能用以排除輕或中聽(tīng)力損失,但可使聽(tīng)力蓬體印象具體化時(shí)費(fèi)力心理數(shù)育工作度11嬰幼兒聽(tīng)力評(píng)估課件12嬰幼兒聽(tīng)力評(píng)估課件13嬰幼兒聽(tīng)力評(píng)估課件14嬰幼兒聽(tīng)力評(píng)估課件15嬰幼兒聽(tīng)力評(píng)估課件16嬰幼兒聽(tīng)力評(píng)估課件17嬰幼兒聽(tīng)力評(píng)估課件18嬰幼兒聽(tīng)力評(píng)估課件19嬰幼兒聽(tīng)力評(píng)估課件20嬰幼兒聽(tīng)力評(píng)估課件21嬰幼兒聽(tīng)力評(píng)估課件22嬰幼兒聽(tīng)力評(píng)估課件23嬰幼兒聽(tīng)力評(píng)估課件24嬰幼兒聽(tīng)力評(píng)估課件25嬰幼兒聽(tīng)力評(píng)估課件26嬰幼兒聽(tīng)力評(píng)估課件27嬰幼兒聽(tīng)力評(píng)估課件28嬰幼兒聽(tīng)力評(píng)估課件29嬰幼兒聽(tīng)力評(píng)估課件30嬰幼兒聽(tīng)力評(píng)估課件31嬰幼兒聽(tīng)力評(píng)估課件32嬰幼兒聽(tīng)力評(píng)估課件33嬰幼兒聽(tīng)力評(píng)估課件34嬰幼兒聽(tīng)力評(píng)估課件35嬰幼兒聽(tīng)力評(píng)估課件36嬰幼兒聽(tīng)力評(píng)估課件37嬰幼兒聽(tīng)力評(píng)估課件38嬰幼兒聽(tīng)力評(píng)估課件39嬰幼兒聽(tīng)力評(píng)估課件40嬰幼兒聽(tīng)力評(píng)估課件41嬰幼兒聽(tīng)力評(píng)估課件42嬰幼兒聽(tīng)力評(píng)估課件43嬰幼兒聽(tīng)力評(píng)估課件44嬰幼兒聽(tīng)力評(píng)估課件45嬰幼兒聽(tīng)力評(píng)估課件46嬰幼兒聽(tīng)力評(píng)估課件47嬰幼兒聽(tīng)力評(píng)估課件48嬰幼兒聽(tīng)力評(píng)估課件49嬰幼兒聽(tīng)力評(píng)估課件50嬰幼兒聽(tīng)力評(píng)估課件51嬰幼兒聽(tīng)力評(píng)估課件52嬰幼兒聽(tīng)力評(píng)估課件53嬰幼兒聽(tīng)力評(píng)估課件54嬰幼兒聽(tīng)力評(píng)估課件55嬰幼兒聽(tīng)力評(píng)估課件56嬰幼兒聽(tīng)力評(píng)估課件57嬰幼兒聽(tīng)力評(píng)估課件58嬰幼兒聽(tīng)力評(píng)估課件59嬰幼兒聽(tīng)力評(píng)估課件60嬰幼兒聽(tīng)力評(píng)估課件61嬰幼兒聽(tīng)力評(píng)估課件62嬰幼兒聽(tīng)力評(píng)估課件63嬰幼兒聽(tīng)力評(píng)估課件64嬰幼兒聽(tīng)力評(píng)估課件65嬰幼兒聽(tīng)力評(píng)估課件66嬰幼兒聽(tīng)力評(píng)估課件67嬰幼兒聽(tīng)力評(píng)估課件68嬰幼兒聽(tīng)力評(píng)估課件69嬰幼兒聽(tīng)力評(píng)估課件70嬰幼兒聽(tīng)力評(píng)估課件71嬰幼兒聽(tīng)力評(píng)估課件72嬰幼兒聽(tīng)力評(píng)估課件73嬰幼兒聽(tīng)力評(píng)估課件74嬰幼兒聽(tīng)力評(píng)估課件75嬰幼兒聽(tīng)力評(píng)估課件76嬰幼兒聽(tīng)力評(píng)估課件77嬰幼兒聽(tīng)力評(píng)估課件78嬰幼兒聽(tīng)力評(píng)估課件79嬰幼兒聽(tīng)力評(píng)估課件80嬰幼兒聽(tīng)力評(píng)估課件81嬰幼兒聽(tīng)力評(píng)估課件82嬰幼兒聽(tīng)力評(píng)估課件83嬰幼兒聽(tīng)力評(píng)估課件84嬰幼兒聽(tīng)力評(píng)估課件85嬰幼兒聽(tīng)力評(píng)估課件86嬰幼兒聽(tīng)力評(píng)估課件87嬰幼兒聽(tīng)力評(píng)估課件88嬰幼兒聽(tīng)力評(píng)估課件89嬰幼兒聽(tīng)力評(píng)估課件90嬰幼兒聽(tīng)力評(píng)估課件91嬰幼兒聽(tīng)力評(píng)估課件92嬰幼兒聽(tīng)力評(píng)估課件93嬰幼兒聽(tīng)力評(píng)估課件94嬰幼兒聽(tīng)力評(píng)估課件95嬰幼兒聽(tīng)力評(píng)估課件96嬰幼兒聽(tīng)力評(píng)估課件97嬰幼兒聽(tīng)力評(píng)估課件98嬰幼兒聽(tīng)力評(píng)估課件99嬰幼兒聽(tīng)力評(píng)估課件100嬰幼兒聽(tīng)力評(píng)估課件10131、只有永遠(yuǎn)躺在泥坑里的人，才不會(huì)再掉進(jìn)坑里。——黑格爾

32、希望的燈一旦熄滅，生活剎那間變成了一片黑暗?！樟心凡?/p>

33、希望是人生的乳母?！撇卟?/p>

34、形成天才的決定因素應(yīng)該是勤奮?！?/p>

35、學(xué)到很多東西的訣竅，就是一下子不要學(xué)很多?！蹇?1、只有永遠(yuǎn)躺在泥坑里的人，才不會(huì)再掉進(jìn)坑里102嬰幼兒聽(tīng)力評(píng)估嬰幼兒聽(tīng)力評(píng)估103嬰幼兒聽(tīng)力評(píng)估嬰幼兒聽(tīng)力評(píng)估104評(píng)后依據(jù)美國(guó)嬰幼兒聽(tīng)力聯(lián)合會(huì)2007年形勢(shì)報(bào)告新生兒及嬰幼兒早期聽(tīng)力檢測(cè)及干預(yù)指南(草案)評(píng)后依據(jù)105平信原則一ge和Haye(1976)提出測(cè)試組合的概念,多項(xiàng)測(cè)試結(jié)果互相驗(yàn)證,從而得出聽(tīng)力損失的程度,性質(zhì)和部位的結(jié)論測(cè)試方法的采用及結(jié)果評(píng)定必須適合發(fā)育年齡0聽(tīng)性行為測(cè)試結(jié)果與生理學(xué)測(cè)試結(jié)果交叉核對(duì)參考家長(zhǎng)觀察到的被測(cè)試兒平日聽(tīng)到聲音后的反應(yīng)平信原則一106新生兒及嬰幼兒早期聽(tīng)力檢測(cè)及干預(yù)指南(草案)對(duì)于3歲內(nèi)的嬰幼兒,為確定是否存在永久性聽(tīng)力損失,應(yīng)進(jìn)行至少包括小兒行為測(cè)聽(tīng)、ABR、多頻穩(wěn)態(tài)誘發(fā)電位(ASSR)、誘發(fā)性耳聲發(fā)射(EOAE和聲導(dǎo)抗測(cè)試在內(nèi)的全面的聽(tīng)力學(xué)檢查新生兒及嬰幼兒早期聽(tīng)力檢測(cè)及干107①?gòu)某錾?個(gè)月內(nèi)嬰幼兒的聽(tīng)力學(xué)評(píng)估:以電生理測(cè)試為主,即診斷性O(shè)AE,kHz聲導(dǎo)抗測(cè)試,短聲及短純音ABR,AERP,AS5R和骨導(dǎo)ABR等,并結(jié)合小兒行為測(cè)聽(tīng)進(jìn)行交叉驗(yàn)證,以確定聽(tīng)力損失的程度①?gòu)某錾?個(gè)月內(nèi)嬰幼兒的聽(tīng)力學(xué)評(píng)估:108②從6個(gè)月到36個(gè)月嬰幼兒的聽(tīng)力學(xué)評(píng)估:以小兒行為測(cè)聽(tīng)為主,評(píng)估聽(tīng)力損失的程度;如果行為測(cè)聽(tīng)不可靠或以前未做過(guò)ABR,應(yīng)進(jìn)行ABR加有頻率特性的聽(tīng)誘發(fā)電位測(cè)試,以評(píng)估聽(tīng)力損失的程度,性質(zhì)和部位;必要時(shí)進(jìn)行顳骨薄層CT檢查,以評(píng)估聽(tīng)力損失的性質(zhì)和部位②從6個(gè)月到36個(gè)月嬰幼兒的聽(tīng)力學(xué)評(píng)估:109用于嬰幼兒聽(tīng)力評(píng)估的幾種分用撿查法的價(jià)值和限度用于嬰幼兒聽(tīng)力評(píng)估的幾種110理物理測(cè)方法廳為觀寒測(cè)聽(tīng)(BOA)給予萊一強(qiáng)度的聲刺激后,觀幼兒是否產(chǎn)生了一個(gè)可寒覺(jué)的行為反應(yīng),適用于6個(gè)月內(nèi)的肌幼兒視覺(jué)強(qiáng)化測(cè)嚌(VRA)通過(guò)聲刺激配合帶光源的木偶建立永件反射后,給予某一強(qiáng)度的廣刺激,觀察嬰幼兒對(duì)光、木偶確定反應(yīng)。適用于6個(gè)月2歲的幼兒。理物理測(cè)方法111優(yōu)點(diǎn)聽(tīng)覺(jué)的概念包括對(duì)聲音的感受和認(rèn)知。感受是前提,認(rèn)知才是目的,聲的認(rèn)知是理聲學(xué)過(guò)程聽(tīng)覺(jué)是對(duì)聲音的行為反應(yīng),反映從周緣到中樞整個(gè)聽(tīng)覺(jué)過(guò)程,包含的佔(zhàn)息量最大聽(tīng)周是行為反應(yīng)的結(jié)果不同頻率聲音測(cè)試,可據(jù)此確定聽(tīng)力圖構(gòu)形言語(yǔ)測(cè)聽(tīng)可了解中樞病變優(yōu)點(diǎn)112度受試者參與行為測(cè)聽(tīng)代表的是周上反應(yīng),不能用以排除輕或中聽(tīng)力損失,但可使聽(tīng)力蓬體印象具體化時(shí)費(fèi)力心理數(shù)育工作度113嬰幼兒聽(tīng)力評(píng)估課件114嬰幼兒聽(tīng)力評(píng)估課件115嬰幼兒聽(tīng)力評(píng)估課件116嬰幼兒聽(tīng)力評(píng)估課件117嬰幼兒聽(tīng)力評(píng)估課件118嬰幼兒聽(tīng)力評(píng)估課件119嬰幼兒聽(tīng)力評(píng)估課件120嬰幼兒聽(tīng)力評(píng)估課件121嬰幼兒聽(tīng)力評(píng)估課件122嬰幼兒聽(tīng)力評(píng)估課件123嬰幼兒聽(tīng)力評(píng)估課件124嬰幼兒聽(tīng)力評(píng)估課件125嬰幼兒聽(tīng)力評(píng)估課件126嬰幼兒聽(tīng)力評(píng)估課件127嬰幼兒聽(tīng)力評(píng)估課件128嬰幼兒聽(tīng)力評(píng)估課件129嬰幼兒聽(tīng)力評(píng)估課件130嬰幼兒聽(tīng)力評(píng)估課件131嬰幼兒聽(tīng)力評(píng)估課件132嬰幼兒聽(tīng)力評(píng)估課件133嬰幼兒聽(tīng)力評(píng)估課件134嬰幼兒聽(tīng)力評(píng)估課件135嬰幼兒聽(tīng)力評(píng)估課件136嬰幼兒聽(tīng)力評(píng)估課件137嬰幼兒聽(tīng)力評(píng)估課件138嬰幼兒聽(tīng)力評(píng)估課件139嬰幼兒聽(tīng)力評(píng)估課件140嬰幼兒聽(tīng)力評(píng)估課件141嬰幼兒聽(tīng)力評(píng)估課件142嬰幼兒聽(tīng)力評(píng)估課件143嬰幼兒聽(tīng)力評(píng)估課件144嬰幼兒聽(tīng)力評(píng)估課件145嬰幼兒聽(tīng)力評(píng)估課件146嬰幼兒聽(tīng)力評(píng)估課件147嬰幼兒聽(tīng)力評(píng)估課件148嬰幼兒聽(tīng)力評(píng)估課件149嬰幼兒聽(tīng)力評(píng)估課件150嬰幼兒聽(tīng)力評(píng)估課件151嬰幼兒聽(tīng)力評(píng)估課件152嬰幼兒聽(tīng)力評(píng)估課件153嬰幼兒聽(tīng)力評(píng)估課件154嬰幼兒聽(tīng)力評(píng)估課件155嬰幼兒聽(tīng)力評(píng)估課件156嬰幼兒聽(tīng)力評(píng)估課件157嬰幼兒聽(tīng)力評(píng)估課件158嬰幼兒聽(tīng)力評(píng)估課件159嬰幼兒聽(tīng)力評(píng)估課件160嬰幼兒聽(tīng)力評(píng)估課件161嬰幼兒聽(tīng)力評(píng)估課件162嬰幼兒聽(tīng)力評(píng)估課件163嬰幼兒聽(tīng)力評(píng)估課件164嬰幼兒聽(tīng)力評(píng)估課件165嬰幼兒聽(tīng)力評(píng)估課件166嬰幼兒聽(tīng)力評(píng)估課件167嬰幼兒聽(tīng)力評(píng)估課件168嬰幼兒聽(tīng)力評(píng)估課件169嬰幼兒聽(tīng)力評(píng)估課件170嬰幼兒聽(tīng)力評(píng)估課件171嬰幼兒聽(tīng)力評(píng)估課件172嬰幼兒聽(tīng)力評(píng)估課件173嬰幼兒聽(tīng)力評(píng)估課件174嬰幼兒聽(tīng)力評(píng)估課件175嬰幼兒聽(tīng)力評(píng)估課件176嬰幼兒聽(tīng)力評(píng)估課件177嬰幼兒聽(tīng)力評(píng)估課件178嬰幼兒聽(tīng)力評(píng)估課件179嬰幼兒聽(tīng)力評(píng)估課件180嬰幼兒聽(tīng)力評(píng)估課件181嬰幼兒聽(tīng)力評(píng)估課件182嬰幼兒聽(tīng)力評(píng)估課件183嬰幼兒聽(tīng)力評(píng)估課件184嬰幼兒聽(tīng)力評(píng)估課件185嬰幼兒聽(tīng)力評(píng)估課件186嬰幼兒聽(tīng)力評(píng)估課件187嬰幼兒聽(tīng)力評(píng)估課件188嬰幼兒聽(tīng)力評(píng)估課件189嬰幼兒聽(tīng)力評(píng)估課件190嬰幼兒聽(tīng)力評(píng)估課件191嬰幼兒聽(tīng)力評(píng)估課件192嬰幼兒聽(tīng)力評(píng)估課件193嬰幼兒聽(tīng)力評(píng)估課件194嬰幼兒聽(tīng)力評(píng)估課件195嬰幼兒聽(tīng)力評(píng)估課件196嬰幼兒聽(tīng)力評(píng)估課件197嬰幼兒聽(tīng)力評(píng)估課件198嬰幼兒聽(tīng)力評(píng)估課件199嬰幼兒聽(tīng)力評(píng)估課件200