感音神经性听力损失对时域信息感知能力影响的研究

Effects of Sensorineural Hearing Loss on Temporal Processing

王哲;寇诺男;陈静;董瑞娟;王媛;傅新星;王硕;

1:首都医科大学附属北京同仁医院耳鼻咽喉头颈外科

2:耳鼻咽喉头颈科学教育部重点实验室(首都医科大学)

3:北京市耳鼻咽喉科研究所

摘要
目的 观察感音神经性听力损失患者调幅感知能力、调频感知能力,探讨感音神经性听力损失对时域信息感知能力的影响。方法 选取听力正常(normal hearing, NH)受试者20例(年龄32.00±6.98岁)和感音神经性听力损失(sensorineural hearing loss, SNHL)受试者20例(年龄31.00±7.68岁),使用调幅声和调频声作为刺激声,载波为500 Hz纯音,调制频率为2.5 Hz和20 Hz,分别测试受试者的调幅感知阈值(amplitude modulation detection threshold, AMDT)和调频感知阈值(frequency modulation detection threshold, FMDT),比较两组结果。结果 (1)听力损失及调制速率都是影响AMDT的主要因素,当Fm=2.5 Hz时,SNHL组AMDT(-19.20±3.41 dB)显著低于NH组(-14.21±4.47 dB)(P<0.05);当Fm=20 Hz时,SNHL组AMDT(-28.19±2.85 dB)显著低于NH组(-24.13±2.73 dB)(P<0.05)。(2)听力损失及调制速率都是影响FMDT的主要因素,当Fm=2.5 Hz时,SNHL组FMDT(5.86±1.27 Hz)显著高于NH组(3.79±1.48 Hz)(P<0.05);而当Fm=20 Hz时,NH组(9.93±2.81 Hz)与SNHL组(13.86±4.38 Hz)之间无统计学差异(P>0.05)。结论 感音神经性听力损失患者使用精细结构信息的能力有所下降,但使用时域包络信息的能力有所增强。
关键词
听力损失;调制声;时域信息
基金项目(Foundation):
国家自然科学基金资助项目(81870715、81200754)
作者
王哲;寇诺男;陈静;董瑞娟;王媛;傅新星;王硕;
参考文献

1 Wang S,Mannell R,Xu L.Relative contributions of temporal envelope and fine structure cues to lexical tone recognition in hearing-impaired listeners[J].J Assoc Res Otolaryngol,2011,12(6):783-794.

2 Wang S,Dong R,Liu D,et al.Perceptual separation of sensorineural hearing loss and auditory neuropathy spectrum disorder with the chimeric lexical tones[J].Laryngoscope,2016,126(6):1420-1425.

3 Wang S,Dong R,Liu D,et al.The role of temporal envelope and fine structure in Mandarin lexical tone perception in auditory neuropathy spectrum disorder[J].PLoS One,2015,10(6):1-16.

4 Wallaert N,Brian CJM,Lorenzi C.Comparing the effects of age on amplitude modulation and frequency modulation detection[J].J Acoust Soc Am,2016,139(6):3088-3096.

5 王硕.感音神经性听力损失对患者使用时域包络与精细结构信息感知言语的影响[J].中华耳鼻咽喉头颈外科杂志,2013,48(2):171-174.

6 Moore BC.An introduction to the psychology of hearing[M].UK:Emerald Group Publishing Limited,2012.172-173.

7 Wallaert N,Moore BC,Ewert SD.Sensorineural hearing loss enhances auditory sensitivity and temporal integration for amplitude modulation[J].J Acoust Soc Am,2017,141(2):971-980.

8 Sek A,Baer T,Crinnion W,et al.Modulation masking within and across carriers for subjects with normal and impaired hearing[J].J Acoust Soc Am,2015,138(2):1143-1153.

9 Grose JH,Porter HL,Buss E,et al.Cochlear hearing loss and the detection of sinusoidal versus random amplitude modulation[J].J Acoust Soc Am,2016,140(2):184-190.

10 Schlittenlacher J,Moore BC.Discrimination of amplitude-modulation depth by subjects with normal and impaired hearing[J].J Acoust Soc Am,2016,140(5):3487-3495.

11 Paraouty N,Stephan DE,Wallaert N.Interactions between amplitude modulation and frequency modulation processing:effects of age and hearing loss[J].J Acoust Soc Am,2016,140(1):121-131.

12 Wallaert N,Varnet L,Moore BC,et al.Sensorineural hearing loss impairs sensitivity but spares temporal integration for detection of frequency modulation[J].J Acoust Soc Am,2018,144(2):720-733.

13 Kale S,Heinz MG.Temporal modulation transfer functions measured from auditory-nerve responses following sensorineural hearing loss[J].Hear Res,2012,286(1-2):64-75.

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