Hood J D
ORL J Otorhinolaryngol Relat Spec. 1980;42(1-2):77-90. doi: 10.1159/000275479.
The audiological findings in Ménière's disease are reviewed particularly in respect of loudness recruitment and speech discrimination loss. Although recruitment is pathognomonic of all cochlear lesions, certain distinguishing features are apparent in Ménière's disease which differ from those in other non-metabolic disorders of the cochlea. With mild degrees of hearing loss, recruitment appears to aid speech discrimination supporting the suggestion that it represents the ears adjustment to failing hearing. With more profound degrees of hearing loss, there is a linear inverse relationship between maximum discrimination score and hearing level. Actual hearing aid gains preferred by patients correlate well with those predicted from a consideration of recruitment curves.
本文特别针对响度重振和言语辨别力丧失，回顾了梅尼埃病的听力学检查结果。虽然重振是所有耳蜗病变的特征性表现，但梅尼埃病有某些明显的区别性特征，不同于其他非代谢性耳蜗疾病。在轻度听力损失时，重振似乎有助于言语辨别，这支持了重振代表耳朵对听力下降的一种适应的观点。在听力损失更严重时，最大辨别分数与听力水平之间呈线性反比关系。患者实际偏好的助听器增益与根据重振曲线预测的结果相关性良好。
