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[老年聋患者听觉脑干反应的特征——与纯音、言语或双耳听力测定结果的比较]

[Characteristics of auditory brainstem response in presbyacusis--compared with the results of pure tone, speech or binaural audiometry].

作者信息

Ohtsuka Y

机构信息

Department of Otolaryngology, Tokyo Medical College.

出版信息

Nihon Jibiinkoka Gakkai Kaiho. 1996 Dec;99(12):1764-71. doi: 10.3950/jibiinkoka.99.1764.

Abstract

The relationships between the auditory brainstem response (ABR) latencies and the results of three phychophysical measurements-pure tone audiometry, speech discrimination test and directional hearing test-were investigated in 58 subjects with presbyacusis. ABR latencies in presbyacusis patients were also compared with those in young adults with normal hearing or cochlear hearing loss. The results were as follows: There was a significant correlation between the average thresholds of pure tone audiometry and latencies of ABR waves I, III, V and/or interpeak latencies of waves I-III and I-V. There was a significant correlation between the scores of the speech discrimination test and latencies of waves I, III and V. There was also a significant correlation between the value of the directional hearing test and only interpeak latency of waves I-III. It was found that the I-III peak interval was prolonged in the ABR of presbyacusis, and that the results of pure tone audiometry and directional hearing tests were rather well correlated with the prolonged I-III peak interval.

摘要

对58名老年聋患者的听觉脑干反应(ABR)潜伏期与三种心理物理学测量结果——纯音听力测定、言语辨别测试和定向听力测试——之间的关系进行了研究。还将老年聋患者的ABR潜伏期与听力正常或患有耳蜗性听力损失的年轻成年人的ABR潜伏期进行了比较。结果如下:纯音听力测定的平均阈值与ABR波I、III、V的潜伏期和/或波I-III及I-V的峰间潜伏期之间存在显著相关性。言语辨别测试的得分与波I、III和V的潜伏期之间存在显著相关性。定向听力测试的值与仅波I-III的峰间潜伏期之间也存在显著相关性。研究发现,老年聋患者的ABR中I-III峰间期延长,并且纯音听力测定和定向听力测试的结果与延长的I-III峰间期相关性相当好。

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