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[内耳高频听力障碍中纯音阈值与单音节辨别之间的关系]

[Relations between pure-tone threshold and discrimination of monosyllables in inner ear high-frequency hearing disorders].

作者信息

Battmer R D, Lehnhardt E

出版信息

HNO. 1984 Feb;32(2):69-73.

PMID:6706703
Abstract

To prove earlier studies with similar subjects (Lehnhardt 1973, 1977) we examined the report of 613 patients (1046 ears) with inner ear high frequency hearing disorders in order to find a correlation between the pure tone threshold and discrimination for monosyllables. The present data again confirm a close correlation between the pure tone hearing loss above 40 dB (HL) at the frequencies 3,000, 2,000 and 1,000 Hz and the percentage discrimination for monosyllables at 65 dB speech intensity level. Furthermore, in progressive high tone deafness with residual hearing in the low frequency range alone, correlations can be shown between the hearing loss above 40 dB in the frequencies 500 and 250 Hz on one hand and the discrimination for monosyllables at intensity levels of 80 and 95 dB on the other hand. These correlations have been converted into a table to enable a recognition of these connections without further calculation. They should be taken into consideration in routine audiometry and in legal cases especially. Greater differences in results indicate errors in testing or calibration; in individual cases they may be a hint of an uncommon origin of the hearing disease.

摘要

为了验证早期针对类似受试者的研究(Lehnhardt,1973年,1977年),我们检查了613例(1046耳)内耳高频听力障碍患者的报告,以寻找纯音阈值与单音节辨别力之间的相关性。目前的数据再次证实,在3000Hz、2000Hz和1000Hz频率下,40dB(HL)以上的纯音听力损失与65dB言语强度水平下单音节的辨别百分比之间存在密切相关性。此外,在仅低频范围有残余听力的进行性高音聋中,一方面在500Hz和250Hz频率下40dB以上的听力损失与另一方面在80dB和95dB强度水平下单音节的辨别力之间可以显示出相关性。这些相关性已被制成表格,以便无需进一步计算就能识别这些联系。它们应在常规听力测定中,尤其是在法律案件中予以考虑。结果的较大差异表明测试或校准存在误差;在个别情况下,它们可能暗示听力疾病的不寻常病因。

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