诱发性耳声发射阈同行为反应阈及听觉脑干反应阈间的相关性  

Correlation among thresholds of evoked otoacoustic emissions,behaviour responses and auditory brainstem responses

作　　者：吕建忠[1] 唐小青[1] 杨宜林[1] 沈懿[1] 

机构地区：[1]北京市耳鼻咽喉科研究所

出　　处：《声学学报》1994年第2期117-121,共5页Acta Acustica

摘　　要：本工作以疏波短声作为刺激声在３５位受试者（５８耳）分别测出诱发性耳声发射（ＥＯＡＥ）、行为反应（ＢＲ）及听觉脑干反应（ＡＢＲ）的阈值．闭值的主要分布范围：ＥＯＡＥ为１０－４５ｄＢ（ｎＨＬ），占总数的８６％；为１０－２５ｄＢ，占８８％；ＡＢＲ为１０－３５ｄＢ，亦占８８％．所有受试耳的三种阈值的相关系数ｒ：ＥＯＡＥ－ＢＲ为０．４１５（ｐ＜０．００２）．ＥＯＡＥ－ＡＢＲ为０．５０１（ｐ＜０．００１），ＡＢＲ－ＢＲ为０．７０２（ｐ＜０．００１），均呈显著相关．若仅取ＢＲ、ＡＢＲ或ＥＯＡＥ阈值≥２５ｄＢ的耳作统计，则ＥＯＡＥ－ＢＲ间的ｒ只有０．１７６及０．２９２；ＥＯＡＥ－ＡＢＲ的ｒ只有０．３１０及０．３００，无相关（ｐ＞０．０５），而ＡＢＲ－ＢＲ间的ｒ仍有０．５３３及０．７２０，（ｐ＜０．０５），这些结果表明ＥＯＡＥ与听阈之间只有在后者正常或稍升高时才有一定的相关，当听阈上升较多时相关即不存在．ＥＯＡＥ可以作为听力学检查的一种辅助方法，但不能用它推算听阈．In 35 adult human subjects (58 ears) thresholds of rarefaction click evokedotoacoustic emissions (EOAE),behaviour responses (BR) and auditory brainstem responses(ABR) were measured and compared, and correlation coefficients among them calculated.The results revealed that 86% of the measured thresholds were in the range from 10 to 45 dB(nHL) for EOAE,88% from 10 to 25 dB for BR,and 88% from 10 to 35 dB for ABR. Thecorrelation coefficients(γ) for the whole threshold samples were 0. 415(p<0.002)for EOAEvs BR, 0. 501 (p<0. 001 )for EOAE vs ABR and 0. 702 (p< 0. 001 ) for ABR vs BR, allindicating highly significant correlation. However, for those ears whose BR, ABR or EOAEthresholds were elevated, equaling or exceeding 25 dB, significant correlation betweenthresholds of EOAE and BR and of EOAE and ABR no more existed (γ range: 0. 176 -0. 310,P>0. 05). In contrast, significant correlation between BR and ABR thresholds in thesame conditions still remained (γ: 0. 533- 0. 720, p<0.05). The experimental resultsindicate that the correlation between EOAE and hearing thresholds is significant only forsubjects with normal or slightly lost hearing. EOAE is valuable in audiometry only as anaccessory tool.

关 键 词：听力测定 听觉阈限 耳声发射 阈值 

分 类 号：Q62[生物学—生物物理学]