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听力损失的早期诊断:畸变产物诱发耳声发射和纯音听力测定:初步研究结果。

Early diagnosis of hearing loss: otoacoustic emissions evoked by distortion products and pure-tone audiometry: Preliminary findings.

作者信息

Capozzella A, Loreti B, Sacco C, Casale T, Pimpinella B, Andreozzi G, Bernardini A, Nieto H A, Scala B, Schifano M P, Bonomi S, Altissimi G, De Sio S, Cianfrone G, Tomei F, Rosati M V, Sancini A

机构信息

Department of Anatomy, Histology, Medical-Legal and the Orthopedics, Unit of Occupational Medicine, Sapienza University of Rome, 00161 Rome, Italy.

Catedra Libre Salude y Seguridad en el Trabajo, Facultad de Medicina, Universidad de Buenos Aires, Argentina.

出版信息

Clin Ter. 2015;166(2):e77-80. doi: 10.7417/CT.2015.1824.

Abstract

OBJECTIVE

Literary studies underline the effectiveness of distortion product otoacoustic emissions (DPOAEs), which are not affected by the collaboration of the subject examined, in the early diagnosis of hearing loss. Aim of the study is to compare the objective technique of DPOAEs with respect to the pure-tone audiometry in early diagnosis of hearing loss.

MATERIALS AND METHODS

The clinical research was carried out on 852 workers. All subjects underwent pure-tone audiometry, tympanometry and distortion products.

RESULTS

The results show: a) a prevalence of subjects with impaired DPOAEs higher than the prevalence of subjects with impaired audiometries in the studied samples; and, after division by gender: b) a prevalence of subjects with impaired DPOAEs higher than the prevalence of subjects with impaired audiometries only in men; c) a prevalence of impaired DPOAEs and of impaired audiometries in men higher than in women.

CONCLUSIONS

The results suggest the higher effectiveness of DPOAEs compared to pure-tone audiometry in making an early diagnosis of hearing loss.

摘要

目的

文学研究强调畸变产物耳声发射(DPOAE)在听力损失早期诊断中的有效性,该方法不受受检者配合情况的影响。本研究的目的是比较DPOAE客观技术与纯音听力测试在听力损失早期诊断方面的差异。

材料与方法

对852名工人进行了临床研究。所有受试者均接受了纯音听力测试、鼓室图检查和畸变产物耳声发射测试。

结果

结果显示:a)在所研究的样本中,DPOAE受损的受试者患病率高于听力测试受损的受试者患病率;按性别划分后:b)仅在男性中,DPOAE受损的受试者患病率高于听力测试受损的受试者患病率;c)男性中DPOAE受损和听力测试受损的患病率高于女性。

结论

结果表明,与纯音听力测试相比,DPOAE在听力损失早期诊断中具有更高的有效性。

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