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 China's Mainland in Patients with Sensorineural Hearing Loss

作　　者：周蕊 刘玉和[1] 张华[2] 武文芳[3] 黄圆圆 周岳恩 Zhou Rui;Liu Yuhe;Zhang Hua;Wu Wenfang;Huang Yuanyuan;Zhou Yueen(Department of Otorhinolaryngology Head and Neck Surgery, Peking University First Hospital,Beijing,100034,China)

机构地区：[1]北京大学第一医院耳鼻咽喉头颈外科,北京100034 [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

出　　处：《听力学及言语疾病杂志》2018年第5期460-463,共4页Journal of Audiology and Speech Pathology

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41~92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-2.5~21.5dB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(-2~10dB)、中度信噪比损失(10~20dB)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。Objective To analyze the characteristics of SNR loss in patients with sensorineural hearing loss the Mandarin quick speech-in-noise test materials(M-Quick SIN).Methods Fifty-five patients(25 male and through 30 female)with sensorineural hearing loss(110 ears),from 41 to 92 years old with the average at 67.5±12.1 were participated in the research.They were divided into:the mild group(36 ears),the moderate group(59 ears),and the severe group(15 ears)based or PTA.They were required to repeat the sentences they heard,and the SNR loss was calculated by the formula"SNR loss=24.5-correct words".The results were analyzed by SPSS 13.0.Results The range of SNR loss was-2.5 to 21.5 for the patients with sensorineural hearing loss,and there was no significant correlation with PTA.The SNR loss of the mild group(4.1±4.7)was much lower than the moderate group(9.4±6.1)and the severe group(10.8±6.5)(P<0.05),and there was no significant difference between the moderate and the severe groups(P>0.05).The classification of SNR loss was quantified as:mild(-2 to 10 dB),moderate(10 to 20 dB)and severe(≥20 dB).Conclusion The research established the scoring scheme,which provides the normative data for identifying the normal hearing and quantified the classification of SNR loss in patients with sensorineural hearing loss in clinical setting.

关 键 词：言语测试 噪声 普通话 信噪比 

分 类 号：R764.04[医药卫生—耳鼻咽喉科]