职业性噪声聋患者听觉稳态反应阈值与纯音测听听阈的关系研究

陈韵; 杨霞; 陈月美; 欧阳东海

doi:10.3969/j.issn.1672-4933.2025.01.010

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职业性噪声聋患者听觉稳态反应阈值与纯音测听听阈的关系研究

临床研究 | 更新时间：2026-07-11

- 职业性噪声聋患者听觉稳态反应阈值与纯音测听听阈的关系研究
- Investigation of the Relationship between Auditory Steady-State Response Thresholds and Pure-Tone Audiometry Thresholds in Noise-Induced Hearing Loss Patients
- 中国听力语言康复科学杂志 2025年23卷第1期页码：39-42
- 作者机构：
  
  佛山市职业病防治所（佛山市职业健康研究院）佛山528000
- 作者简介：
  
  陈韵本科副主任医师；研究方向：临床听力学及职业性噪声聋防治，E-mail：525580168@qq.com
- 基金信息：
  
  佛山市卫生健康局医学科研课题(20230022)
- DOI：10.3969/j.issn.1672-4933.2025.01.010
  中图分类号： R764.5
- 收稿：2024-05-29，
  
  纸质出版：2025-01-15
- 稿件说明：
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陈韵,杨霞,陈月美等.职业性噪声聋患者听觉稳态反应阈值与纯音测听听阈的关系研究[J].中国听力语言康复科学杂志,2025,23(01):39-42.

CHEN Yun,YANG Xia,CHEN Yue-mei,et al.Investigation of the Relationship between Auditory Steady-State Response Thresholds and Pure-Tone Audiometry Thresholds in Noise-Induced Hearing Loss Patients[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(01):39-42.
陈韵,杨霞,陈月美等.职业性噪声聋患者听觉稳态反应阈值与纯音测听听阈的关系研究[J].中国听力语言康复科学杂志,2025,23(01):39-42. DOI： 10.3969/j.issn.1672-4933.2025.01.010.

CHEN Yun,YANG Xia,CHEN Yue-mei,et al.Investigation of the Relationship between Auditory Steady-State Response Thresholds and Pure-Tone Audiometry Thresholds in Noise-Induced Hearing Loss Patients[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(01):39-42. DOI： 10.3969/j.issn.1672-4933.2025.01.010.

摘要

目的

分析职业性噪声聋患者听觉稳态反应（ASSR）预估阈值与纯音测听（PTA）听阈之间的相关性。

方法

选择我所2022年1月～2024年4月诊断的70例职业性噪声聋患者为研究对象，其中15例为中重度聋，55例为轻度聋，并选择38例同期体检的健康者为对照组。通过对受试者进行ASSR、PTA检查，对比分析ASSR预估阈值与PTA听阈结果之间的相关性。

结果

与对照组比较，观察组的ASSR和PTA阈值均较高，组间对比有统计学意义（

0.05），中重度聋组的ASSR和PTA阈值显著高于轻度聋组（

0.05）。相关性分析提示，PTA阈值与ASSR阈值之间存在正相关关系（0.5、1、2和4 kHz各频率相关系数

依次为0.70、0.84、0.92、0.94）。

结论

在职业性噪声聋患者中，PTA与ASSR阈值之间存在相关性，通过及时检测相关指标，可以为疾病的诊断和治疗提供有效的参考依据。

Abstract

Objective

To study and analyze the correlation between auditory steady-state response (ASSR) threshold and pure-tone audiometry (PTA) hearing threshold in patients with occupational noise hearing loss.

Methods

70 patients with occupational noise hearing loss diagnosed in our institute from February 2022 to April 2023 were selected as the research subjects

of which 15 were moderate to severe loss and 55 were mildly loss. Healthy patients who came to the hospital for physical examination during the same period were then selected. 38 cases were used as the control group. ASSR and PTA were used for detection

and the ASSR response threshold detection results and PTA results were compared and analyzed.

Results

Compared with the control group

the ASSR and PTA values of the observation group were higher

and the inter group comparison was statistically significant (

0.05). Among them

the ASSR and PTA values of the moderate group were higher than those of the mild group (

0.05). Meanwhile

through correlation analysis

it was found that the PTA threshold was positively correlated with ASSR (The frequency correlation coefficients r of 0.5 kHz

1 kHz

2 kHz and 4 kHz are 0.70

0.84

0.92 and 0.94

respectively).

Conclusion

There is a correlation between PTA and ASSR thresholds in patients with occupational noise induced hearing loss. Timely detection of various indicators can provide effective reference for the diagnosis and treatment of diseases.

关键词

Keywords

references

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