Nelson D A
Department of Otolaryngology, University of Minnesota, Minneapolis.
J Speech Hear Res. 1991 Dec;34(6):1233-49.
Forward-masked psychophysical tuning curves (PTCs) were obtained for 1000-Hz probe tones at multiple probe levels from one ear of 26 normal-hearing listeners and from 24 ears of 21 hearing-impaired listeners with cochlear hearing loss. Comparisons between normal-hearing and hearing-impaired PTCs were made at equivalent masker levels near the tips of PTCs. Comparisons were also made of PTC characteristics obtained by fitting each PTC with three straight-line segments using least-squares fitting procedures. Abnormal frequency resolution was revealed only as abnormal downward spread of masking. The low-frequency slopes of PTCs from hearing-impaired listeners were not different from those of normal-hearing listeners. That is, hearing-impaired listeners did not demonstrate abnormal upward spread of masking when equivalent masker levels were compared. Ten hearing-impaired ears demonstrated abnormally broad PTCs, due exclusively to reduced high-frequency slopes in their PTCs. This abnormal downward spread of masking was observed only in listeners with hearing losses greater than 40 dB HL. From these results, it would appear that some, but not all, cochlear hearing losses greater than 40 dB HL influence the sharp tuning capabilities usually associated with outer hair cell function.
从26名听力正常的受试者的一只耳朵以及21名患有耳蜗性听力损失的听力受损受试者的24只耳朵中,在多个探测水平下获得了针对1000赫兹探测音的前掩蔽心理物理调谐曲线(PTC)。在PTC尖端附近的等效掩蔽水平下,对听力正常和听力受损的PTC进行了比较。还对使用最小二乘法拟合程序将每个PTC拟合为三个直线段所获得的PTC特征进行了比较。仅在掩蔽的异常向下扩展中发现了异常的频率分辨率。听力受损受试者的PTC的低频斜率与听力正常受试者的低频斜率没有差异。也就是说,在比较等效掩蔽水平时,听力受损受试者没有表现出掩蔽的异常向上扩展。十只听力受损的耳朵表现出异常宽阔的PTC,这完全是由于其PTC中的高频斜率降低所致。仅在听力损失大于40 dB HL的受试者中观察到这种掩蔽的异常向下扩展。从这些结果来看,似乎一些但并非所有大于40 dB HL的耳蜗性听力损失会影响通常与外毛细胞功能相关的尖锐调谐能力。