急性低频感音神经性听力损失的听力学特征分析

刘辉; 刘青; 张朋

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急性低频感音神经性听力损失的听力学特征分析

临床研究 | 更新时间：2026-10-28

- 急性低频感音神经性听力损失的听力学特征分析
- Audiological Characteristics of Acute Low-Tone Sensorineural Hearing Loss
- 中国听力语言康复科学杂志 2022年20卷第3期页码：191-194
- 作者机构：
  
  山东省淄博市第一医院耳鼻咽喉头颈外科
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R764
- 纸质出版：2022
- 稿件说明：
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刘辉, 刘青, 张朋. 急性低频感音神经性听力损失的听力学特征分析[J]. 中国听力语言康复科学杂志, 2022,20(3):191-194.

刘辉, 刘青, 张朋. Audiological Characteristics of Acute Low-Tone Sensorineural Hearing Loss[J]. 2022, 20(3): 191-194.
刘辉, 刘青, 张朋. 急性低频感音神经性听力损失的听力学特征分析[J]. 中国听力语言康复科学杂志, 2022,20(3):191-194. DOI：

刘辉, 刘青, 张朋. Audiological Characteristics of Acute Low-Tone Sensorineural Hearing Loss[J]. 2022, 20(3): 191-194. DOI：

摘要

目的探究听力学检查在急性低频感音神经性听力损失中的临床意义。方法选择2015年3月～2020年2月我院耳鼻咽喉头颈外科收治的100例急性低频感音神经性听力损失(acutelow-tonesensorineuralhearingloss

ALHL)患者100例（104耳）为研究组，选择同期我院无听力相关疾病的听力正常者50例（50耳）为对照组，探究两组听力学检查的差异，以及在急性低频感音神经性听力损失中的临床意义。结果研究组患者中初次发病以30～40岁居多，且多为单侧发病，多数患者伴有耳鸣和耳闷等症状；在0.125、0.25、0.5及1kHz的低频纯音听阈频率均显著高于对照组（P<0.05），但在2、3、4kHz的高频纯音听阈频率与对照组间无显著差异（P>0.05）；两组患者ABR均可引出正常波形，各波形潜伏期、波间期均处于正常范围；研究组在0.553、0.783、1.105和2.211kHz的DP-gram幅值和信噪比（signal-noise ratio

SNR)值均显著高于对照组（P<0.05），但在4.416、6.250和8.837 kHz上，SNR值显著低于对照组（P<0.05）

DP-gram幅值无显著差异（P>0.05）；研究组-SP幅值、-SP/AP比值均显著高于对照组（P<0.05），但AP幅值和AP潜伏期与对照组无显著差异（P>0.05）。结论纯音听阈、ABR、声导抗、畸变产物耳声发射和耳蜗电图在急性低频感音神经性听力损失中具有较高的诊断价值。

Abstract

Objective To explore the clinical significance of various audiological examinations in acute low-frequency sensorineural hearing loss. Methods 100 cases（104 ears） of acute low-frequency sensorineural hearing loss（ALHL） admitted to the Department of Otolaryngology Head and Neck Surgery of our hospital from March 2015 to February 2020 were selected as the study group. 50 normal hearing patients（50 ears） without hearing-related diseases tested in our hospital during the same period were selected as the control group. The differences between the two groups were studied to explore the audiological examination in clinical significance in acute low frequency sensorineural hearing loss. Results Most of the 100 ALHL patients in our hospital were 30-40years old

and most were unilateral

and accompanied by tinnitus and stuffy ear. The pure tone hearing thresholds at 0.125 kHz

0.25kHz

0.5 kHz and 1 kHz in the study group were significantly higher than that in the control group

and the difference was statistically significant（P<0.05）. However

there was no statistically significant difference between the pure tone hearing thresholds at 2

3 and 4kHz in the study group and the control group（P>0.05）. The Patients in the both groups were tested by ABR

which were within the normal range. The DP-gram amplitude and SNR values at 0.553

0.783

1.105 and 2.211 kHz in the study group were significantly lower than those in the control group

and the differences were statistically significant（P<0.05）. However

at 4.416

6.250 and 8.837kHz

the SNR value of the study group was significantly lower than that of the control group

and the difference was statistically significant（P<0.05）

while the difference in the DP-gram amplitude was not statistically significant（P>0.05）. The-sp amplitude and-sp/AP ratio of the study group were significantly higher than those of the control group

and the differences were statistically significant（P<0.05）. However

the differences in the amplitude and the latency of AP were not statistically significant（P>0.05）.Conclusion Pure tone hearing threshold

ABR

sound conduction reactance

distorted product otoacoustic emission and electrocochlear imaging can effectively diagnose the occurrence of acute low-frequency sensorineural hearing loss.

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references

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