Cooper J C, Owen J H
Arch Otolaryngol. 1976 Jul;102(7):396-9. doi: 10.1001/archotol.1976.00780120044003.
We review the Short Increment Sensitivity Index (SISI) in terms of its performance with a variety of sites of lesion and its likely physiologic basis. We conclude that its original schema can be broadened to extend its clinical application if changes are made in the parameters of its routine use. The two major changes involve (1) a presentation level of no less than 90 dB hearing threshold level (HTL) and (2) a bimodal interpretation of results based on the premise that high scores indicate normal cochlear function and low scores indicate extensive cochlear damage or neural dysfunction. We suggest that routine use of the modifications suggested here can provide useful diagnostic information and bring to light a group of neurally impaired patients that has been relatively ignored.
我们从短增量敏感指数（SISI）在各种病变部位的表现及其可能的生理基础方面进行了综述。我们得出结论，如果对其常规使用参数进行改变，其原始模式可以得到扩展以扩大其临床应用。两个主要改变包括：（1）呈现水平不低于90分贝听力阈值水平（HTL）；（2）基于高分表明耳蜗功能正常而低分表明广泛的耳蜗损伤或神经功能障碍这一前提对结果进行双峰解释。我们建议，常规使用此处提出的修改方法可以提供有用的诊断信息，并揭示一组相对被忽视的神经受损患者。
