中国听力语言康复科学杂志2025,Vol.23Issue(1) :39-42,74.DOI:10.3969/j.issn.1672-4933.2025.01.010

职业性噪声聋患者听觉稳态反应阈值与纯音测听听阈的关系研究

Investigation of the Relationship between Auditory Steady-State Response Thresholds and Pure-Tone Audiometry Thresholds in Noise-Induced Hearing Loss Patients

陈韵 杨霞 陈月美 欧阳东海
中国听力语言康复科学杂志2025,Vol.23Issue(1) :39-42,74.DOI:10.3969/j.issn.1672-4933.2025.01.010

职业性噪声聋患者听觉稳态反应阈值与纯音测听听阈的关系研究

Investigation of the Relationship between Auditory Steady-State Response Thresholds and Pure-Tone Audiometry Thresholds in Noise-Induced Hearing Loss Patients

陈韵 1杨霞 1陈月美 1欧阳东海1
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作者信息

  • 1. 佛山市职业病防治所(佛山市职业健康研究院) 佛山 528000
  • 折叠

摘要

目的 分析职业性噪声聋患者听觉稳态反应(ASSR)预估阈值与纯音测听(PTA)听阈之间的相关性.方法 选择我所2022年1月~2024年4月诊断的70例职业性噪声聋患者为研究对象,其中15例为中重度聋,55例为轻度聋,并选择38例同期体检的健康者为对照组.通过对受试者进行ASSR、PTA检查,对比分析ASSR预估阈值与PTA听阈结果之间的相关性.结果 与对照组比较,观察组的ASSR和PTA阈值均较高,组间对比有统计学意义(P<0.05),中重度聋组的ASSR和PTA阈值显著高于轻度聋组(P<0.05).相关性分析提示,PTA阈值与ASSR阈值之间存在正相关关系(0.5、1、2和4 kHz各频率相关系数r依次为0.70、0.84、0.92、0.94).结论 在职业性噪声聋患者中,PTA与ASSR阈值之间存在相关性,通过及时检测相关指标,可以为疾病的诊断和治疗提供有效的参考依据.

Abstract

Objective To study and analyze the correlation between auditory steady-state response(ASSR)threshold and pure-tone audiometry(PTA)hearing threshold in patients with occupational noise hearing loss.Methods 70 patients with occupational noise hearing loss diagnosed in our institute from February 2022 to April 2023 were selected as the research subjects,of which 15 were moderate to severe loss and 55 were mildly loss.Healthy patients who came to the hospital for physical examination during the same period were then selected.38 cases were used as the control group.ASSR and PTA were used for detection,and the ASSR response threshold detection results and PTA results were compared and analyzed.Results Compared with the control group,the ASSR and PTA values of the observation group were higher,and the inter group comparison was statistically significant(P<0.05).Among them,the ASSR and PTA values of the moderate group were higher than those of the mild group(P<0.05).Meanwhile,through correlation analysis,it was found that the PTA threshold was positively correlated with ASSR(The frequency correlation coefficients r of 0.5 kHz,1 kHz,2 kHz and 4 kHz are 0.70,0.84,0.92 and 0.94,respectively).Conclusion There is a correlation between PTA and ASSR thresholds in patients with occupational noise induced hearing loss.Timely detection of various indicators can provide effective reference for the diagnosis and treatment of diseases.

关键词

听觉稳态诱发电位/纯音听阈测试/职业性噪声聋/相关性

Key words

Auditory steady-state response/Pure-Tone Audiometry/Occupational noise induced deafness/Correlational study

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出版年

2025
中国听力语言康复科学杂志
中国聋儿康复研究中心

中国听力语言康复科学杂志

影响因子:0.325
ISSN:1672-4933
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