Haider M, Koller M, Kundi M, Schwetz F, Welleschick B
HNO. 1987 Apr;35(4):157-62.
Twenty subjects without otological disease were examined for auditory thresholds by Békésy audiometry and by the Feldmann Test (Adaptogramm), before and after noise exposure to one ear of 90 db SPL at 3 kHz for 15 minutes. The exposed ear was also tested for hearing fatigue (TTS). There was no significant correlation between Békésy audiometry and Feldmann test curves or between these adaptation tests and the hearing fatigue test (TTS) after noise exposure. Our results suggest that these methods of measuring adaptation do not correspond, and that adaptation measurements, prior to noise exposure, have no predictive value for hearing fatigue test results following noise exposure. After noise exposure changes were found in the non-exposed ear which were manifested as variability of the Békésy audiometry curves and flattened Feldmann curves. We thought that these results might indicate a central adaptation following noise exposure. There was interference of this so called "central adaptation" with peripheral fatigue in the exposed ear.
20名无耳科疾病的受试者在一只耳朵暴露于90分贝声压级、3千赫兹的噪声15分钟之前和之后,通过贝凯西听力计和费尔德曼测试(适应图)进行了听阈检查。对暴露的耳朵还进行了听力疲劳(暂时性阈移)测试。噪声暴露后,贝凯西听力计和费尔德曼测试曲线之间,或这些适应测试与听力疲劳测试(暂时性阈移)之间均无显著相关性。我们的结果表明,这些测量适应的方法并不一致,并且在噪声暴露之前进行的适应测量对噪声暴露后的听力疲劳测试结果没有预测价值。噪声暴露后,未暴露的耳朵出现了变化,表现为贝凯西听力计曲线的变异性和费尔德曼曲线变平。我们认为这些结果可能表明噪声暴露后存在中枢适应。这种所谓的“中枢适应”对暴露耳朵的外周疲劳产生了干扰。