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听觉诱发电位在补偿性和法医学患者听力测定评估中的应用

Auditory evoked potentials in audiometric assessment of compensation and medicolegal patients.

作者信息

Hyde M, Alberti P, Matsumoto N, Li Y L

出版信息

Ann Otol Rhinol Laryngol. 1986 Sep-Oct;95(5 Pt 1):514-9. doi: 10.1177/000348948609500514.

DOI:10.1177/000348948609500514
PMID:2945508
Abstract

The clinical utility of auditory evoked potentials for validation of the pure tone audiogram in adult compensation claimants and medicolegal patients is examined. Large sample comparisons of evoked potential and conventional pure tone thresholds showed that the slow vertex response can estimate true hearing levels within 10 dB in almost all patients. Given adequate tester skills, it is the tool of choice, and it merits more widespread implementation. Properly used, it can improve and abbreviate the assessment battery for detection and quantification of nonorganic hearing loss. The 40-Hz middle latency response is useful as a secondary tool, but at present, cochlear nerve and brain stem potentials have limited audiometric value in this population.

摘要

本文研究了听觉诱发电位在成年赔偿申请人和法医学患者中用于验证纯音听力图的临床效用。诱发电位与传统纯音阈值的大样本比较表明,几乎所有患者的慢顶点反应都能在10分贝范围内估计真实听力水平。鉴于测试人员具备足够的技能,它是首选工具,值得更广泛地应用。正确使用它可以改进并简化用于检测和量化非器质性听力损失的评估流程。40赫兹中潜伏期反应可用作辅助工具,但目前,耳蜗神经和脑干电位在该人群中的听力测定价值有限。

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Auditory evoked potentials in audiometric assessment of compensation and medicolegal patients.听觉诱发电位在补偿性和法医学患者听力测定评估中的应用
Ann Otol Rhinol Laryngol. 1986 Sep-Oct;95(5 Pt 1):514-9. doi: 10.1177/000348948609500514.
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Exaggerated hearing loss in compensation claimants.赔偿申请人夸大听力损失。
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引用本文的文献

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Front Neurol. 2014 Nov 13;5:228. doi: 10.3389/fneur.2014.00228. eCollection 2014.
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Objective estimation of frequency-specific pure-tone hearing thresholds following bone-conduction hearing aid stimulation.骨导助听器刺激后特定频率纯音听力阈值的客观评估。
ScientificWorldJournal. 2014;2014:247942. doi: 10.1155/2014/247942. Epub 2014 Apr 10.
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Dichotic multiple-frequency auditory steady-state responses in evaluating the hearing thresholds of occupational noise-exposed workers.
双耳多频听觉稳态响应在评估职业噪声暴露工人听阈中的应用。
Kaohsiung J Med Sci. 2011 Aug;27(8):330-5. doi: 10.1016/j.kjms.2011.03.004. Epub 2011 May 10.
4
Middle-latency responses to assess objective thresholds in patients with noise-induced hearing losses and Ménière's disease.用于评估噪声性听力损失和梅尼埃病患者客观阈值的中潜伏期反应。
Eur Arch Otorhinolaryngol. 1996;253(4-5):222-6. doi: 10.1007/BF00171131.