噪声下数字言语测试联合听力障碍筛查量表在职业性噪声性听力损失患者中的应用

曲莹; 徐明; 林大伟; 邹建芳; 戴伟

doi:10.3969/j.issn.1672-4933.2023.04.008

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噪声下数字言语测试联合听力障碍筛查量表在职业性噪声性听力损失患者中的应用

临床研究 | 更新时间：2026-07-10

- 噪声下数字言语测试联合听力障碍筛查量表在职业性噪声性听力损失患者中的应用
- Application of Digital Speech Test Combined with Hearing Impairment Screening Scale to Patients with Occupational Noise Induced Hearing Loss
- 中国听力语言康复科学杂志 2023年21卷第4期页码：363-367
- 作者机构：
  
  1.山东省职业卫生与职业病防治研究院/山东第一医科大学附属职业病医院（山东省职业病医院）济南 250002
  2.沂源县妇幼保健院淄博 256199
- 作者简介：
  
  曲莹硕士主治医师；研究方向：职业病与职业健康监护
  徐明，E-mail：nan0077t@163.com
- 基金信息：
  
  山东省医药卫生科技发展计划项目(202107010433)
- DOI：10.3969/j.issn.1672-4933.2023.04.008
  中图分类号：
- 收稿：2023-02-16，
  
  纸质出版：2023-07-15
- 稿件说明：
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曲莹,徐明,林大伟等.噪声下数字言语测试联合听力障碍筛查量表在职业性噪声性听力损失患者中的应用[J].中国听力语言康复科学杂志,2023,21(04):363-367.

QU Ying,XU Ming,LIN Da-wei,et al.Application of Digital Speech Test Combined with Hearing Impairment Screening Scale to Patients with Occupational Noise Induced Hearing Loss[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(04):363-367.
曲莹,徐明,林大伟等.噪声下数字言语测试联合听力障碍筛查量表在职业性噪声性听力损失患者中的应用[J].中国听力语言康复科学杂志,2023,21(04):363-367. DOI： 10.3969/j.issn.1672-4933.2023.04.008.

QU Ying,XU Ming,LIN Da-wei,et al.Application of Digital Speech Test Combined with Hearing Impairment Screening Scale to Patients with Occupational Noise Induced Hearing Loss[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(04):363-367. DOI： 10.3969/j.issn.1672-4933.2023.04.008.

摘要

目的

探究噪声下数字言语测试（digital speech test under noise，DIN）联合听力障碍筛查量表（hearing impairment screening scule，HHIA-S）在职业性噪声性听力损失患者中的应用价值。

方法

选择职业性噪声性听力损失患者102例作为研究组，按双耳纯音听阈平均值PTA

0.5～4 kHz

（双耳在500、1000、2000、4000 Hz纯音听阈平均值）分为轻度组（26～40 dB HL）51例、中度组（41～60 dB HL）27例、重度组（61～80 dB HL）24例；另选取听力正常健康体检者90例作为对照组。全部行纯音听阈测试、声导抗测试、DIN及HHIA-S测试。比较各组各指标测试结果，并绘制受试者工作特性曲线（receiver operating chara cteristc curve，ROC）分析其相应的关系。

结果

研究组PTA

0.5～4 kHz

、DIN及HHIA-S评分均显著高于对照组高（

＜0.05）。其中重度组PTA

0.5～4 kHz

、DIN及HHIA-S评分均比中度及轻度组高，且中度组显著高于轻度组（

＜0.05）。Spearman相关性分析显示，DIN、HHIA-S与PTA

0.5～4 kHz

均呈显著正相关（

＜0.05）。HHIA-S评分中除了“E7”问题外，其余9个问题均与PTA、DIN呈正相关（

＜0.05）。DIN、HHIA-S的曲线下面积（area under curve，AUC）分别为0.964、0.948；以PTA

0.5～4 kHz

＞25 dB HL作为听力损失“金标准”，提示联合测试的特异度最高，达100.00%。纯音听力测试、DIN、HHIA-S的测试时长相比有显著差异（

＜0.05）。

结论

噪声下数字言语测试联合听力障碍筛查量表在职业性噪声性听力损失患者中的应用价值较高，可作为纯音听力测试筛查听力损失的有效补充方案。

Abstract

Objective

To explore the application of Digital Speech Test under Noise (DIN) combined with Hearing Impairment Screening Scale (HHIA-S) to patients with occupational noise induced hearing loss.

Methods

102 patients with occupational noise induced hearing loss were selected as the study group. According to the mean value of binaural pure tone hearing threshold PTA0.5-4 kHz

51 patients with mild hearing loss (26-40 dB HL)

27 patients with moderate hearing loss (41-60 dB HL)

and 24 patients with severe hearing loss (61-80 dB HL) were selected as the study group. Another 90 healthy people with normal hearing were selected as the control group. Pure tone hearing threshold test

acoustic immittance test

DIN and HHIA-S test were performed in all patients. The test results of each index in each group were compared

and the ROC of subjects was drawn to analyze the corresponding relationship.

Results

PTA

0.5-4 kHz

DIN results and HHIA-S scores in the study group were higher than those in the control group (

0.05). PTA

0.5-4 kHz

DIN results and HHIA-S scores in severe group were higher than those in moderate group and mild group

and those in moderate group were higher than those in mild group (

0.05). Spearman correlation analysis showed that DIN

HHIA-S and PTA

0.5-4 kHz

were positively correlated (

0.05). Spearman correlation analysis showed that except for the "E7" question in HHIA-S score

the other nine questions were positively correlated with PTA and DIN results (

0.05). The area under the curve (AUC) of DIN and HHIA-S was 0.964 and 0.948 respectively; PTA

0.5-4 kHz

25 dB HL as the "gold standard" of hearing loss

indicates that the specificity of the joint test was the highest

reaching 100.00%. There was a significant difference in the test duration among pure tone audiometry

DIN

and HHIA-S (

0.05).

Conclusion

The digital speech test combined with hearing impairment screening scale has high application value in patients with occupational noise induced hearing loss

and can be used as an effective supplement to pure tone hearing test screening for hearing loss.

关键词

Keywords

references

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