感音神经性听力损失患者的听觉皮质诱发电位平均阈值与言语识别阈相关性研究  

Correlation between the mean threshold of cortical auditory evoked potential and the threshold of speech recognition threshold in patients with sensorineural hearing loss

作　　者：许弘毅 李洋 查诗华 晏小惠 涂磊 王永华 史文迪[1] XU Hongyi;LI Yang;ZHA Shihua;YAN Xiaohui;TU Lei;WANG Yonghua;SHI Wendi(Institute of Clinical Audiology,Hangzhou Ren’ai Institute of Deafness Rehabilitation,Hangzhou 310004,China;Hui’er International Audiology Research Center,Hangzhou 310000,China;Zhejiang University of Chinese Medicine,Hangzhou 310000,China)

机构地区：[1]杭州仁爱耳聋康复研究院,杭州310000 [2]惠耳国际听力学研究中心,杭州310000 [3]浙江中医药大学,杭州310000

出　　处：《中国眼耳鼻喉科杂志》2024年第1期36-39,共4页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的研究感音神经性耳聋患者的听觉皮质诱发电位(CAEP)平均阈值与言语识别阈(SRT)的相关性,为临床通过客观检测预估主观言语测试阈提供参考。方法选取2023年1—7月收治的平均年龄为(31.2±22.7)岁的22例感音神经性听力损失患者,分别检测0.5、1、2、4 kHz频率处的CAEP反应阈和SRT,对结果进行相关性分析。结果Pearson相关性分析显示,CAEP平均阈值和SRT显著相关(r=0.764,P<0.01);非参数独立样本检验显示,CAEP平均阈值与SRT的相关性无耳间、性别间差异。结论CAEP平均阈值和SRT显著相关,对无法配合言语测试的患者,CAEP阈值可用于预估SRT。Objective To investigate the correlation between the mean threshold of cortical auditory evoked potential(CAEP)and the speech recognition threshold(SRT)in patients with sensorineural hearing loss(SNHL)in order to provide references for clinical prediction of subjective speech test threshold through objective testing.Methods The mean CAEP response threshold and SRT at 0.5,1,2,4 kHz were measured on 22 patients with SNHL with an average age of(31.2±22.7)years accepted from January to July in 2023,and the correlations between them were performed.Results Pearson correlation analysis showed that the average CAEP threshold was significantly correlated with SRT(r=0.746,P<0.01).Non parametric independent sample tested showed that there were no significant differences either in ear side or in gender between the average threshold of CAEP and SRT.Conclusions There is a significant correlation between the average CAEP threshold and SRT.The threshold of CAEP can be used to predict the SRT in patients who are unable to cooperate with speech tests.

关 键 词：感音神经性听力损失 听觉皮质诱发电位 言语识别阈 

分 类 号：R764[医药卫生—耳鼻咽喉科]