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[福勒氏试验(作者译)]

[The fowler test (author's transl)].

作者信息

Reker U

出版信息

Laryngol Rhinol Otol (Stuttg). 1975 Nov;54(11):920-7.

PMID:127910
Abstract

On 20 patients with unilateral recruitment-positive deafness (Morbus Meniere) 4 variations of the loudness-balancing test were performed: A. Two methods with alternate tones:1st method (Jerger): alternate tones, affected ear as reference ear. Loudness on the good ear was adapted for loudness balancing(= "affected ear fixed"), 2nd method (Hood): alternate tones, "good ear fixed". B. Two methods with continuous tones: 3rd method: continuous tones on both ears, "affected ear fixed", 4th method: continuous tones on both ears, "good ear fixed". Results were compared with the corresponding data obtained with recruitment-negative patients. Statistical analysis showed that separation between recruitment-positive and negative patients was equally excellent with both methods with alternate tones. With Jerger's method (method 1) the tendency to recruitment is less pronounced. Overrecruitment does practically not exist. Under our testing conditions the standard values for positive, and also for negative recruitment (reference point 110 dB lower with method 1 (Jerger) as compared to method 2 (Hood). The different values with method 1 and method 2 were due to the choice of the affected or good ear as "fixed ear" (reference ear). Method 1 (Jerger) can be recommended for clinical use as there is less overrecruitment (unfavourable testing technique) and as an audiometer with 5 dB intensity-steps can be used.

摘要

对20例单侧重振阳性耳聋(梅尼埃病)患者进行了4种响度平衡测试变体:A. 两种交替音方法:第一种方法(耶格法):交替音,患耳作为参照耳。健耳的响度调整至与患耳响度平衡(即“患耳固定”);第二种方法(胡德法):交替音,“健耳固定”。B. 两种连续音方法:第三种方法:双耳连续音,“患耳固定”;第四种方法:双耳连续音,“健耳固定”。将结果与重振阴性患者的相应数据进行比较。统计分析表明,两种交替音方法在区分重振阳性和阴性患者方面同样出色。采用耶格法(方法1)时,重振倾向不太明显。几乎不存在过重振现象。在我们的测试条件下,重振阳性和阴性的标准值(与方法2(胡德法)相比,方法1(耶格法)的参照点低110 dB)。方法1和方法2的不同值是由于选择患耳或健耳作为“固定耳”(参照耳)所致。由于过重振较少(测试技术不利)且可以使用强度步长为5 dB的听力计,因此推荐方法1(耶格法)用于临床。

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