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通过测量已有反射增强阈值进行镫骨肌反射听力测定(作者译)

[Stapedius-reflex-audiometry by measuring the threshold for the re-inforcement of a pre-existing reflex (author's transl)].

作者信息

Reker U, Baumgarten D

出版信息

Laryngol Rhinol Otol (Stuttg). 1980 Sep;59(9):557-61.

PMID:7464371
Abstract

The possibilities for predicting the pure tone threshold on the basis of the acoustic stapedius reflex threshold are improved by using two stimuli, e.g., white noise and pure tone, or two pure tones according to Sesterhenn and Breuninger. The principle of the monaural loudness summation with regard to the stapedius reflex was systematically examined with the aim to obtain the best suited range for clinical use with a double tone stimulus. The following procedure proved to be the most reliable one for an objective audiometry: A distinct reflex is produced by a basic pure tone of 4 kHz, 10 dB above its reflex threshold. The tone to be examined (1 kHz) was added with a delay of 0.5 s. A 1 kHz tone 28 dB below the reflex threshold (median) produced a clear re-inforcement of the basic reflex. Objective extrapolation possibilities from stapedius reflex threshold to pure tone threshold are thereby improved.

摘要

根据塞斯特亨恩和布罗伊宁格的研究,通过使用两种刺激,如白噪声和纯音,或两种纯音,可以提高基于镫骨肌反射阈值预测纯音阈值的可能性。系统地研究了关于镫骨肌反射的单耳响度总和原理,目的是通过双音刺激获得最适合临床使用的范围。对于客观听力测定,以下程序被证明是最可靠的:用一个4kHz的基本纯音产生明显的反射,该纯音比其反射阈值高10dB。待检查的音调(1kHz)以0.5s的延迟添加。一个比反射阈值(中位数)低28dB的1kHz音调产生了基本反射的明显增强。由此提高了从镫骨肌反射阈值到纯音阈值的客观推断可能性。

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