关于传导性聋的林纳试验。一项批判性重新评估。

The Rinne test for conductive deafness. A critical reappraisal.

作者信息

Chole R A, Cook G B

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, School of Medicine, Sacramento 95616.

出版信息

Arch Otolaryngol Head Neck Surg. 1988 Apr;114(4):399-403. doi: 10.1001/archotol.1988.01860160043018.

DOI:10.1001/archotol.1988.01860160043018

PMID:3348896

Abstract

The Rinne tuning fork test for the detection of conductive hearing loss is the most widely used tuning fork test in clinical medicine. However, the frequency of the tuning fork used to perform the test has not been standardized. In a study of 200 patients with known air-bone gaps, we found that the 256-Hz tuning fork was more sensitive than the 512-, 1024-, and 2048-Hz tuning forks for discriminating conductive from sensorineural hearing deficits. However, the occurrence of false-positive responses limits its usefulness. Therefore, we believe that the 512-Hz tuning fork should become the standard tuning fork used in performance of the Rinne test to screen patients for conductive hearing loss.

摘要

用于检测传导性听力损失的林纳音叉试验是临床医学中使用最广泛的音叉试验。然而，用于进行该试验的音叉频率尚未标准化。在一项对200例已知气骨导间距患者的研究中，我们发现256赫兹的音叉在区分传导性听力缺陷与感音神经性听力缺陷方面比512赫兹、1024赫兹和2048赫兹的音叉更敏感。然而，假阳性反应的出现限制了其效用。因此，我们认为512赫兹的音叉应成为林纳试验中用于筛查患者传导性听力损失的标准音叉。