Albera R, Canale G, Magnano M, Lacilla M, Morra B, Rugiu M G, Cortesina G
II Clinica Otorinolaringoiatrica, Università di Torino.
Acta Otorhinolaryngol Ital. 1991 Nov-Dec;11(6):551-62.
Slow vertex response (SVR) audiometry is presently one of the methods of choice in objective auditory threshold assessment. The aim of this study was to evaluate, as objectively possible, the relationship existing between the thresholds of SVR and or pure tone audiometry (PTA). The study was carried out on twenty subjects with hearing losses of various degrees and types. While mean differences between SVR and PTA thresholds ranged between 6 to 13 dB, in some cases values over 30 dB were found. No statistically significant intra- and interindividual discrepancies were found, even though in some cases the thresholds were given different in evaluations by different examiners. No statistically significant difference in SVR versus PTA thresholds was found in patients with sensory-neural and conductive hearing loss, while in subjects with normal hearing the difference between the thresholds was greater. Our results suggest that SVR is a reliable technique in objective threshold evaluation but that in single cases its threshold cannot be directly compared to that of pure tone audiometry.
慢顶点反应(SVR)听力测定法目前是客观听觉阈值评估的首选方法之一。本研究的目的是尽可能客观地评估SVR阈值与纯音听力测定(PTA)阈值之间存在的关系。该研究针对20名不同程度和类型听力损失的受试者进行。虽然SVR和PTA阈值之间的平均差异在6至13分贝之间,但在某些情况下发现值超过30分贝。即使在某些情况下不同检查者的评估中阈值有所不同,也未发现统计学上显著的个体内和个体间差异。在感音神经性和传导性听力损失患者中,未发现SVR与PTA阈值有统计学上的显著差异,而在听力正常的受试者中,阈值之间的差异更大。我们的结果表明,SVR是客观阈值评估中的一种可靠技术,但在个别情况下,其阈值不能直接与纯音听力测定的阈值进行比较。