中国听力语言康复科学杂志

2020, v.18;No.99(02) 89-92

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交叉验证原则在儿童听力诊断中的应用价值
The Value of Cross-Check Principle in Audiological Diagnosis in Children

刘一迪;刘海红;
LIU Yi-di;LIU Hai-hong;

摘要(Abstract):

在临床听力学工作中,正确诊断是恰当干预的前提和必要条件,也是工作中的重点和难点。针对这一问题,美国听力学家JamesJerger教授于40年前提出了"交叉验证原则",旨在用不同的测听方法相互验证测听结果。该原则广泛应用于听力学临床工作中,尤其对于儿童,更为准确诊断提供了基础。本文回顾了Jerger教授在其论文中叙述的5个经典案例并结合当今测听技术条件对其进行分析与讨论,案例的共同点是都曾因为仅依赖于某一项测试结果而导致误诊进而错误干预。希望听力师以此为鉴,在今后的临床工作中正确使用交叉验证原则,以提高诊断的准确性。
Accurate diagnosis is crucial for intervention in audiology, while it is difficult to implement under some circumstances. American audiologist Professor James Jerger had proposed the "cross-check principle" to solve this problem, in which the results of a single test are cross-checked by different test. The cross-check principle has been widely used in clinical audiology, particularly in pediatric evaluations. We reviewed five cases that Jerger described in his paper. The five classic cases were analyzed and discussed in combination with current audiometry use the cross-validation principle and therefore improve the accuracy of diagnosis.

关键词(KeyWords): 交叉验证原则;听力学;测听方法;儿童听力诊断
Cross-check principle;Audiology;Audiometry;Hearing diagnosis in children

Abstract:

Keywords:

基金项目(Foundation): 北京市医院管理局儿科学科协同发展中心“儿科专项”(XTYB201826);; 北京市自然科学基金(H2018316006)

作者(Author): 刘一迪;刘海红;
LIU Yi-di;LIU Hai-hong;

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