預(yù)防醫(yī)學(xué)：預(yù)防醫(yī)學(xué)耳聾防治

1、耳聾及其防治耳聾及其防治 Deafness and its prevention and treatment 內(nèi)容提要1 1、概述概述2 2、聽(tīng)覺(jué)解剖和生理概要、聽(tīng)覺(jué)解剖和生理概要3 3、定義、分級(jí)定義、分級(jí)耳聾分級(jí)耳聾分級(jí)Degrees of hearing lossDegrees of hearing loss4 4、分類及常見(jiàn)病因分類及常見(jiàn)病因 耳聾的分類耳聾的分類 按耳聾性質(zhì)分類按耳聾性質(zhì)分類: :傳導(dǎo)性耳聾傳導(dǎo)性耳聾 Conductive Conductive hearing losshearing loss耳廓和外耳道疾病耳廓和外耳道疾病鼓膜鼓膜 Tympanic Membrane

2、(Eardrum)Middle Ear感音神經(jīng)性耳聾感音神經(jīng)性耳聾 Sensorineural hearing lossSensorineuralSensorineural - any - any damage to the organ damage to the organ of Corti or VIII nerve of Corti or VIII nerve pathway or auditory pathway or auditory cortex (SNHL).cortex (SNHL).Sensorineural Hearing LossSensorineural Hearing

3、 Loss先天性耳聾和遺傳性耳聾先天性耳聾和遺傳性耳聾Congenital hearing loss and hereditary Congenital hearing loss and hereditary hearing losshearing loss老年性聾老年性聾（PresbycusisPresbycusis）hearing of old age, the effects of hearing of old age, the effects of agingaging傳染病源性聾傳染病源性聾（deafness due to deafness due to infective dise

4、aseinfective disease）藥毒性耳聾藥毒性耳聾（OtotoxicityOtotoxicity） drug-induced hearing loss; drug-induced hearing loss; ototoxicityototoxicity耳毒性聾的藥物耳毒性聾的藥物噪聲性聾噪聲性聾Noise-induced hearing lossNoise-induced hearing lossNormal Hair CellsDamaged Hair Damaged Hair CellsCellsNormal Hair CellsNormal Hair Cells創(chuàng)傷性聾創(chuàng)傷性

5、聾 Traumatic Traumatic hearing losshearing loss特發(fā)性突聾特發(fā)性突聾（Idiopathic sudden hearing lossIdiopathic sudden hearing loss）自身免疫性耳聾Autoimmune hearing loss全身性疾病全身性疾病 systemicsystemic混合性耳聾混合性耳聾 Mixed hearing Mixed hearing losslossn主觀測(cè)聽(tīng): 語(yǔ)音檢測(cè),音叉試驗(yàn), 純音測(cè)聽(tīng), 閾上和聲場(chǎng)測(cè)聽(tīng)n客觀測(cè)聽(tīng): 聲導(dǎo)抗測(cè)試, 電反應(yīng)測(cè)聽(tīng)（聽(tīng)性腦干反應(yīng)、耳蝸電圖、多頻穩(wěn)態(tài)測(cè)聽(tīng)、40Hz相關(guān)電位

6、）, 耳聲發(fā)射5. 耳聾的診斷耳聾的診斷 測(cè)聽(tīng)技術(shù)測(cè)聽(tīng)技術(shù)（Audiometry）Tuning fork testAudiogram行為測(cè)聽(tīng)5 5、預(yù)防預(yù)防（PreventionPrevention）6 6、治療治療（TreatmentTreatment）Medical TreatmentMedical TreatmentHearingHearing aidsaids助聽(tīng)器SurgerySurgeryTreat underlying Treat underlying (serious) cause(serious) cause CholesteatomaCholesteatoma TM perforationTM perforation Acoustic Acoustic neuromaneuromaImprove hearingImprove hearing StapedectomyStapedectomy Cochlear implantCochlear impl