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纯音听力测定:全科医疗与医院服务的比较

Pure tone audiometry: comparison of general practice and hospital services.

作者信息

Smith M C, Cable H R, Wilmot J F

出版信息

J R Coll Gen Pract. 1988 Dec;38(317):552-5.

PMID:3267745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1711660/
Abstract

Pure tone audiometry was obtained for both ears of 32 children by a general practitioner using a simple audiometer in his surgery, and by audiometricians in a hospital department on the same day. Comparing the worst hearing threshold at any of the three tested frequencies, the general practitioner did not find any ears to hear more than 10 dB better than the hospital (no false negatives). However, there were six false positives (9%) where the general practitioner identified an apparent hearing loss of greater than 15 dB. It is concluded that pure tone audiometry could be carried out accurately in the practice.

摘要

一位全科医生在其诊所使用简易听力计为32名儿童的双耳进行了纯音听力测定,同一天医院科室的听力测定师也为这些儿童进行了测定。比较三个测试频率中任何一个频率下最差的听力阈值,全科医生未发现有耳朵的听力比医院测定结果好超过10分贝(无假阴性)。然而,有6例假阳性(9%),即全科医生认定存在大于15分贝的明显听力损失。结论是在诊所中可以准确地进行纯音听力测定。

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Pure tone audiometry: comparison of general practice and hospital services.纯音听力测定:全科医疗与医院服务的比较
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[Quality control of audiologic results in a university phoniatric/pediatric institution. An example of expert assessment of occupational noise induced hearing loss].[大学嗓音病/儿科学机构中听力学结果的质量控制。职业性噪声所致听力损失专家评估实例]
HNO. 2005 Aug;53(8):716-21. doi: 10.1007/s00106-004-1207-9.
2
Impact of an audiology clinic in one general practice.一家听力诊所对一家全科诊所的影响。
Br J Gen Pract. 1997 Oct;47(423):643-4.

本文引用的文献

1
Development of school screening audiometry.学校筛查听力测定法的发展
Br J Audiol. 1981 May;15(2):87-95. doi: 10.3109/03005368109081420.
2
Deafness in general practice measured by a screening audiometer.通过筛查听力计测量全科医疗中的耳聋情况。
J R Coll Gen Pract. 1968 Jan;15(1):48-51.
3
Controversies in screening for middle ear disease and hearing loss in children.儿童中耳疾病和听力损失筛查中的争议
Pediatrics. 1986 Jan;77(1):57-70.
4
Persistent effusion following acute otitis media: tympanometry and pneumatic otoscopy in diagnosis.急性中耳炎后持续性积液:鼓室图和耳气压镜检查在诊断中的应用
J R Coll Gen Pract. 1988 Apr;38(309):149-52.
5
Critical view on audiometric screening in school.对学校听力筛查的批判性观点。
Arch Otolaryngol. 1975 Aug;101(8):469-73. doi: 10.1001/archotol.1975.00780370011005.
6
An evaluation of audiometers for use in general practice.用于全科医疗的听力计评估。
Health Bull (Edinb). 1978 Sep;36(5):276-80.