Braun T, Wimmer M, Hempel J M
Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Ludwig-Maximilians-Universität München, Deutschland.
HNO. 2012 Sep;60(9):814-6. doi: 10.1007/s00106-011-2474-x.
In Germany assessment of hearing loss for numbers is used to calculate the percentage hearing loss from speech audiometry and for plausibility checking with pure tone thresholds. It is common practice to take a graphical reading from the speech audiogram to determine the hearing loss for numbers. This study searches for a mathematical formula for the exact calculation of the hearing loss for numbers from the intelligibility values measured.
With analytical methods on the basis of the standard curve following DIN 45626-1, two simple formulas for the calculation of the hearing loss for numbers were developed.
The hearing loss for numbers a(1) is calculated as a(1)=p(1)+(50-v(1)) (p(2)-p(1))/(v(2)-v(1))-18,4 for two available measured values and as a(1)=p(1)-0,13 v(1)-11,9 if only one measured value is used, with v(i )being number intelligibility in percent at the level p(i) in decibels (dB) of measurement number i. Number intelligibility of all inserted pairs of values must be between 30% and 70% because the standard curve of DIN 45626-1 runs approximately linearly only in this range. The calculated value for the hearing loss for numbers is subsequently mathematically rounded up to 5 dB as well as for the conventional graphically determined value.
With the presented formulas the hearing loss for numbers can be calculated exactly from the measured values of the Freiburg number test especially in matters of expertise if the conventional graphical determination of this value does not seem to be unambiguous.
在德国,数字听力损失评估用于根据言语测听计算听力损失百分比,并与纯音阈值进行合理性检查。通常做法是从言语听力图上进行图形读取以确定数字听力损失。本研究旨在寻找一种数学公式,以便根据测量的可懂度值精确计算数字听力损失。
基于DIN 45626-1标准曲线,采用分析方法开发了两个计算数字听力损失的简单公式。
对于两个可用测量值,数字听力损失a(1)的计算公式为a(1)=p(1)+(50-v(1))(p(2)-p(1))/(v(2)-v(1))-18.4;若仅使用一个测量值,则计算公式为a(1)=p(1)-0.13v(1)-11.9,其中v(i)是测量编号i在p(i)分贝(dB)水平下的数字可懂度百分比。所有插入值对的数字可懂度必须在30%至70%之间,因为DIN 45626-1的标准曲线仅在此范围内大致呈线性。随后,计算出的数字听力损失值在数学上向上舍入到5dB,传统图形确定值也如此。
使用所提出的公式,可以根据弗莱堡数字测试的测量值精确计算数字听力损失,特别是在专业问题上,如果该值的传统图形确定似乎不明确。