感音神经性听力损失患者普通话快速噪声下言语测试及评估

The Evaluation of Mandarin Quick Speech-in-Noise Test Materials in Mainland China in Patients with Sensorineural Hearing Loss

周蕊;刘玉和;张华;武文芳;黄圆圆;周岳恩;

1:北京大学第一医院耳鼻咽喉头颈外科

2:首都医科大学附属北京同仁医院耳鼻咽喉头颈外科北京市耳鼻咽喉科研究所

3:首都医科大学生物医学工程学院

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摘要

目的探讨感音神经性听力损失患者噪声下的言语识别能力及特点,并制定评价方案。方法选取55例(110耳)感音神经性听力损失患者进行普通话快速噪声下言语测试(Mandarin quick speech-in-noise test,M-Quick SIN),其中男25名,女30名,年龄4192岁,平均67.5±12.1岁;根据气导平均听阈(pure tone average,PTA)分为轻度听力损失组(36耳)、中度听力损失组(59耳)及重度听力损失组(15耳);根据公式"信噪比损失=24.5-答对词数"计算并分析各组信噪比损失(signal-to-noise ratio loss,SNR loss),以此评估其言语感知能力。结果所有患者SNR loss得分范围在-2.592岁,平均67.5±12.1岁;根据气导平均听阈(pure tone average,PTA)分为轻度听力损失组(36耳)、中度听力损失组(59耳)及重度听力损失组(15耳);根据公式"信噪比损失=24.5-答对词数"计算并分析各组信噪比损失(signal-to-noise ratio loss,SNR loss),以此评估其言语感知能力。结果所有患者SNR loss得分范围在-2.521.5dB之间,与PTA无显著相关性;轻度组SNR loss(4.1±4.7dB)明显低于中度组(9.4±6.1dB)及重度组(10.8±6.5dB)(P<0.05);中度组与重度组间SNR loss差异无统计学意义(P>0.05);在轻21.5dB之间,与PTA无显著相关性;轻度组SNR loss(4.1±4.7dB)明显低于中度组(9.4±6.1dB)及重度组(10.8±6.5dB)(P<0.05);中度组与重度组间SNR loss差异无统计学意义(P>0.05);在轻重度感音神经性听力损失时,M-Quick SIN结果可分为轻度信噪比损失(-2重度感音神经性听力损失时,M-Quick SIN结果可分为轻度信噪比损失(-210dB)、中度信噪比损失(1010dB)、中度信噪比损失(1020dB)及重度信噪比损失(≥20dB)。结论本研究初步建立了轻、中、重度感音神经性听力损失者M-Quick SIN的得分评价方案,为临床应用提供了基于M-Quick SIN的听力正常者的鉴别标准,以及感音神经性听力损失患者的分级标准。

关键词

言语测试;噪声;普通话;信噪比

基金项目(Foundation):

作者

周蕊;刘玉和;张华;武文芳;黄圆圆;周岳恩;

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