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使用纯音和窄带噪声刺激获得的传统和扩展高频听力阈值的等效性和重测再现性。

Equivalence and test-retest reproducibility of conventional and extended-high-frequency audiometric thresholds obtained using pure-tone and narrow-band-noise stimuli.

作者信息

John Andrew B, Kreisman Brian M

机构信息

a Department of Communication Sciences and Disorders , University of Oklahoma Health Sciences Center , Oklahoma City , OK , USA.

c Department of Speech Pathology and Audiology , Calvin College , Grand Rapids , MI , USA.

出版信息

Int J Audiol. 2017 Sep;56(9):635-642. doi: 10.1080/14992027.2017.1309084. Epub 2017 Apr 7.


DOI:10.1080/14992027.2017.1309084
PMID:28388868
Abstract

OBJECTIVES: Extended high-frequency (EHF) audiometry is useful for evaluating ototoxic exposures and may relate to speech recognition, localisation and hearing aid benefit. There is a need to determine whether common clinical practice for EHF audiometry using tone and noise stimuli is reliable. We evaluated equivalence and compared test-retest (TRT) reproducibility for audiometric thresholds obtained using pure tones and narrowband noise (NBN) from 0.25 to 16 kHz. DESIGN: Thresholds and test-retest reproducibility for stimuli in the conventional (0.25-6 kHz) and EHF (8-16 kHz) frequency ranges were compared in a repeated-measures design. STUDY SAMPLE: A total of 70 ears of adults with normal hearing. RESULTS: Thresholds obtained using NBN were significantly lower than thresholds obtained using pure tones from 0.5 to 16 kHz, but not 0.25 kHz. Good TRT reproducibility (within 2 dB) was observed for both stimuli at all frequencies. Responses at the lower limit of the presentation range for NBN centred at 14 and 16 kHz suggest unreliability for NBN as a threshold stimulus at these frequencies. CONCLUSION: Thresholds in the conventional and EHF ranges showed good test-retest reproducibility, but differed between stimulus types. Care should be taken when comparing pure-tone thresholds with NBN thresholds especially at these frequencies.

摘要

目的:扩展高频(EHF)听力测定法有助于评估耳毒性暴露情况,且可能与言语识别、定位及助听器效果相关。有必要确定使用纯音和噪声刺激进行EHF听力测定法的常见临床操作是否可靠。我们评估了等效性,并比较了使用0.25至16kHz的纯音和窄带噪声(NBN)获得的听力阈值的重测(TRT)重复性。 设计:在重复测量设计中,比较了传统(0.25 - 6kHz)和EHF(8 - 16kHz)频率范围内刺激的阈值和重测重复性。 研究样本:共有70只听力正常的成年人耳朵。 结果:使用NBN获得的阈值显著低于使用0.5至16kHz纯音获得的阈值,但0.25kHz时并非如此。在所有频率下,两种刺激的TRT重复性均良好(在2dB以内)。以14和16kHz为中心的NBN呈现范围下限处的反应表明,在这些频率下NBN作为阈值刺激不可靠。 结论:传统和EHF范围内的阈值显示出良好的重测重复性,但刺激类型之间存在差异。在比较纯音阈值和NBN阈值时应谨慎,尤其是在这些频率下。

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