基于互联网+和iOS系统的听力自测软件研发和评估  

Development and preliminary evaluation of a self-hearing-test system based on internet plus and iOS

作　　者：王晓东[1] 丁大雄 杨风波[1] 程晓婷[1] 李欢[1] 翟所强[1] 杨仕明[1] 于宁[1] 

机构地区：[1]中国人民解放军总医院耳鼻咽喉头颈外科&耳鼻咽喉科研究所,100853

出　　处：《中华耳科学杂志》2016年第1期86-89,共4页Chinese Journal of Otology

基　　金：国家973项目(2012CB967900;2014CB943002);总后军用标准项目(BWS14B080);总装项目(JDZYY20132);国家自然基金项目(81470700;81271081);国家海洋局及北京市噪声项目(PXM2014-178304-000002-00130228)~~

摘　　要：目的开发一种基于互联网+和iOS系统的听力简易自我检测应用程序,进行临床评估。方法采用iPad平板电脑,iOS7.0.4系统,EarPods插入式耳机以及基于iPad音频系统建立的听力自我测试系统,通过仿真耳对刺激声强度进行校准。系统调整后,对20名志愿者进行纯音测听和软件自测,计算两阈值的差值。结果系统调整后,软件自测阈值与纯音测听阈值在125Hz、250Hz、500Hz、1000Hz、2000Hz、4000Hz、8000Hz两阈值之差为2.5±4.629、1.875±4.581、3.125±4.581、0.625±4.955、-1.25±3.536、-6.875±4.581、0±11.952,考虑测听环境对结果有一定影响。结论验证了本听力自测系统在耳科正常人听力测试的可靠性,需进一步验证聋病患者应用的准确性。Objective To design and test a self-hearing-test system based on the Internet plus and iOS. Methods A portable self-hearing-test system was composed using an iPad on the iOS 7.0.4 system, EarPods insert phones and iPad digital audio system. The test signals were calibrated using an artificial ear. Standard pure tone audiometry and self-hearing-test using the designed system were conducted in 20 normal hearing volunteers （40 ears） after calibration. Thresholds at all frequencies from both test modalities were compared. Results The differences between self-bearing-test thresholds and pure tone audiometry thresholds were 2.5±4.629 dB at 125 Hz, 1.875±4.581 dB at 250 Hz, 3.125±4.581 dB at 500 Hz, 0.625±4.955 dB at 1000 Hz, -1.25±3.536 dB at 2000 Hz, -6.875±4.581 dB at 4000 Hz and 0±11.952 dB at 8000 Hz. Self-hearing-test environment was considered to affect the test results of the system. Conclusions A self-hearing-test system has been established for normal hearing people. The test reliability of this system among hearing-impaired people need to be further evaluated.

关 键 词：测听 便携式 感音神经性聋 听力 

分 类 号：R764.431[医药卫生—耳鼻咽喉科]