职业性噪声性听力损失患者的听觉行为反应与诱发电位反应（稳态和皮层反应）比较。

The comparison of auditory behavioral and evoked potential responses (steady state and cortical) in subjects with occupational noise-induced hearing loss.

作者信息

DeJonckere P H, Lebacq J

机构信息

Federal Agency for Occupational Risks, Avenue de l'Astronomie, 1, B-1210, Bruxelles, Brussels, Belgium.

Institute of Neurosciences, University of Louvain, Pasteur, Avenue Mounier, 53, B-1200, Bruxelles, Brussels, Belgium.

出版信息

J Otol. 2021 Oct;16(4):242-251. doi: 10.1016/j.joto.2021.05.002. Epub 2021 May 29.

DOI:10.1016/j.joto.2021.05.002

PMID:34548871

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8438636/

Abstract

OBJECTIVE

To define difference scores between PTA, ASSR and CERA thresholds in subjects with occupational NIHL.

DESIGN

44 subjects undergoing a medico-legal expert assessment for occupational NIHL and fulfilling criteria of reliability were considered. Assessment included: PTA, 40 Hz binaural multiple ASSR and CERA (1-2-3 kHz).

RESULTS

The respective average difference scores (ASSR - PTA) for 1, 2 and 3 kHz are 13.01 (SD 10.19) dB, 12.72 (SD 8.81) dB and 10.38 (SD 8.19) dB. The average (CERA - ASSR) difference scores are 1.25 (SD 14.63) dB for 1 kHz (NS), 2.73 (SD 13.03) dB for 2 kHz (NS) and 4.51 (SD 12.18) dB for 3 kHz. The correlation between PTA and ASSR (0.82) is significantly stronger than that between PTA and CERA (0.71). In a given subject, PTA thresholds are nearly always lower ( better) than ASSR thresholds, whatever the frequency (1-2-3 kHz) and the side (right - left). A significant negative correlation is found between the difference score (ASSR - PTA) and the degree of hearing loss.

CONCLUSION

ASSR outperforms CERA in a medicolegal context, although overestimating the behavioral thresholds by 10-13 dB

摘要

目的

确定职业性噪声性听力损失（NIHL）受试者中纯音听阈（PTA）、听性稳态反应（ASSR）和耳蜗电图反应阈值（CERA）之间的差异分数。

设计

纳入44名接受职业性NIHL医学法律专家评估且符合可靠性标准的受试者。评估包括：PTA、40Hz双耳多频ASSR和CERA（1-2-3kHz）。

结果

1kHz、2kHz和3kHz各自的平均差异分数（ASSR - PTA）分别为13.01（标准差10.19）dB、12.72（标准差8.81）dB和10.38（标准差8.19）dB。平均（CERA - ASSR）差异分数在1kHz时为1.25（标准差14.63）dB（无统计学意义），2kHz时为2.73（标准差13.03）dB（无统计学意义），3kHz时为4.51（标准差12.18）dB。PTA与ASSR之间的相关性（0.82）显著强于PTA与CERA之间的相关性（0.71）。在给定受试者中，无论频率（1-2-3kHz）和耳侧（右-左）如何，PTA阈值几乎总是低于（更好）ASSR阈值。差异分数（ASSR - PTA）与听力损失程度之间存在显著负相关。