1. 上海交通大学医学院附属新华医院耳鼻咽喉头颈外科/上海交通大学耳科学研究所/上海耳鼻疾病转化医学重点实验室
2. 上海交通大学医学院附属新华医院崇明分院耳鼻咽喉科
纸质出版:2021
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王璐, 汪玮, 沈佳丽, 等. 负压型鼓室图宽频声能吸收率特征分析[J]. 中国听力语言康复科学杂志, 2021,19(5):331-335.
王璐, 汪玮, 沈佳丽, et al. Characteristic Analysis of Wideband Tympanometry Energy Absorption Rate of Negative Pressure Tympanogram[J]. 2021, 19(5): 331-335.
目的探讨传统226Hz鼓室图结果为C型儿童的宽频能量吸收率特征
对C型鼓室图在环境压力(0dapa)及宽频峰压下能量吸收率特征进行分析
建立C型鼓室图宽频声能吸收率曲线范围。方法选取正常耳140耳及传统226 Hz鼓室图负压耳187耳
通过宽频声导抗测试获取环境压力(0dapa)及宽频峰压下107个频率下的声能吸收率
绘制C1和C2二组儿童宽频峰压与环境压力(0dapa)下声能吸收率均值曲线
并对所有曲线进行分析。选取并分析226Hz和1/3倍频程共17个频率下A组、C1组、C2组儿童宽频能量吸收率是否存在差异。结果当外耳道为环境压力(0 dapa)时
A组各频率处宽频声能吸收率均大于C组
且C1大于C2组;C1与C2型相比在17个频率中11个存在差异。当外耳道为宽频峰压时
C1组与C2组吸收率均值曲线相似且声能吸收率存在差异频率较少
与A组相比
在中频段更有研究意义。结论 C组与A组宽频声能吸收率存在差异。C1组与C2组声能吸收率曲线主要在外耳道为环境压力下存在差异
而在宽频峰压下相似
可为临床提供一定参考意义。
Objective To explore the characteristics of the broadband energy absorption rate in children with conventional C-type tympanogram at 226 Hz. To analyze the characteristics of the energy absorption rate of the C-type tympanogram under ambient pressure(0 dapa) and broadband peak pressure
and establish the range of the C-type tympanogram’s broadband sound energy absorption rate curve. Methods 140 normal ears and 187 ears with negative pressure in conventional 226 Hz tympanogram were enrolled to obtain the absorption rate under ambient pressure(0 dapa) and broadband peak pressure at 107 frequencies by wideband tympanometry. Curve of sound energy absorptivity difference between C1-type and C2-type groups was drawn and analyzed. The differences of broadband energy absorption rate of children in group A
group C1 and group C2 under 17 frequencies at 226 Hz and 1/3 octave were analyzed. Results When the external auditory canal was at ambient pressure(0 dapa)
the broadband sound energy absorption rate at each frequency in group A was greater than that in group C
and the absorption rate in group C1 was greater than that in group C2. There were differences between the two C-type groups at 11 of the 17 frequencies observed. When the external auditory canal was under broadband peak pressure
the mean curve of the absorption rate in the C1 group was similar to that in group C2
and there was less difference in the sound energy absorption rate. Compared with group A
it was more significance in the middle frequency band. Conclusion There was a difference in broadband sound energy absorption between group C and group A. There were differences in the curve of sound energy absorptivity between group C1 and group C2 when the external auditory canal under ambient pressure
but they were similar under the broadband peak pressure
which can provide some reference for clinical practice.
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