Establishment and Application of the Tuneup Platform of Hearing Ability Evaluation

YANG Lu; WEN Wen; SHAN Jia-lin; ZHANG Qin-jie; LI Yun; JIA Huan

doi:10.3969/j.issn.1672-4933.2023.05.004

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Establishment and Application of the Tuneup Platform of Hearing Ability Evaluation

Preoperative Evaluation and Postoperative Outcome Assessment of Cochlear Implant | 更新时间：2023-11-03

- Establishment and Application of the Tuneup Platform of Hearing Ability Evaluation
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 21, Issue 5, Pages: 466-470(2023)
- 作者机构：
  
  1.上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科/上海市耳鼻疾病转化医学重点实验室/上海交通大学医学院耳科学研究所上海 200011
  2.上海交通大学医学院上海 200025
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2023.05.004
  CLC：
- Published：15 September 2023，
  
  Received：19 June 2023，
- 稿件说明：
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杨璐,文雯,单佳琳等.精细听觉能力评估平台的建立和应用研究[J].中国听力语言康复科学杂志,2023,21(05):466-470.

YANG Lu,WEN Wen,SHAN Jia-lin,et al.Establishment and Application of the Tuneup Platform of Hearing Ability Evaluation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):466-470.
杨璐,文雯,单佳琳等.精细听觉能力评估平台的建立和应用研究[J].中国听力语言康复科学杂志,2023,21(05):466-470. DOI： 10.3969/j.issn.1672-4933.2023.05.004.

YANG Lu,WEN Wen,SHAN Jia-lin,et al.Establishment and Application of the Tuneup Platform of Hearing Ability Evaluation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):466-470. DOI： 10.3969/j.issn.1672-4933.2023.05.004.

摘要

目的

探讨精细听觉能力评估平台在临床运用的可行性与优势，了解听力正常、轻度-中度、中重度-重度听力损失和人工耳蜗植入者普通话元音、辅音、声调和音乐旋律的表现。

方法

基于临床中对精细听觉能力的测试方法，如言语测试和旋律辨别测试等，完成精细听觉能力评估平台的搭建，本平台测试内容包括元音、辅音、声调、音乐旋律4个板块。2023年1月～6月，招募不同听力水平受试者进行测试，根据0.5、1、2、4 kHz气导平均听阈（PTA）将受试者分为听力正常组（12耳）、轻度-中度听力损失组（11耳）、中重度-重度听力损失组（11耳），以及人工耳蜗植入组（21耳），使用自主建立的精细听觉能力评估软件在安静环境下测试，对测试数据进行统计学分析。

结果

（1）精细听觉能力评估平台在55耳测试中均良好运行，检测结果可当即显示，在便捷程度和用户体验感上优势突出。（2）平台测得的精细听觉能力结果与纯音听阈测试结果趋势相符，即纯音听阈下降越多，精细听觉能力越差。不同模块对精细听觉能力评估敏感度不同，可以测得受试者处理复杂听觉信息的能力，弥补纯音测听的不足。证明软件具有良好的评估效能。（3）人工耳蜗植入儿童经过听觉训练后，元音、辅音的精细听觉水平能达到较好程度，但对于声调、音乐旋律等复杂的精细听觉仍表现较差。人工耳蜗植入者助听听阈与轻度-中度听力损失类似，但整体精细听觉能力仍差于这类患者。

结论

研究证实了精细听觉能力评估平台的实用性，有望进一步推广到听力损失患者诊疗及听觉干预康复效果评估中。

Abstract

Objective

To establish a fine hearing ability assessment platform independently

explore the feasibility and the advantage of this platform

and preliminarily understand the Mandarin vowels

consonants

tones and musical melody performance of people with normal hearing

mild to moderate loss

moderate to severe loss and cochlear implant.

Methods

Based on the clinical test methods of fine hearing ability

such as speech test and melody discrimination test

the evaluation platform of fine hearing ability is built. The test content of this platform includes 4 parts: vowel

consonant

tone and music melody. From January to early June 2023

subjects with different hearing levels were recruited for testing. According to the PTA of 0.5

2 and 4 kHz

subjects were divided into normal hearing group (12 ears)

mild to moderate hearing loss group (11 ears)

moderate to severe hearing loss group (11 ears)

and cochlear implant group (21 ears). The self-established fine hearing ability assessment software was used to test in a quiet environment. The test data were statistically analyzed.

Results

(1) The fine hearing ability evaluation platform ran well in the 55-ear test

and the test results could be displayed immediately

with outstanding advantages in convenience and user experience. (2) The software test results are consistent with the trend of pure tone hearing threshold test results

that is

the more the pure tone hearing threshold declines

the worse the fine hearing ability. Different modules have different sensitivity to fine auditory ability assessment

which can measure the ability of subjects to process complex auditory information and make up for the deficiency of pure tone audiometry. That proves the developed software has good evaluation efficiency.(3) After basic hearing training

children with cochlear implant can achieve a good level of simple fine hearing such as vowels and consonants

but they still perform poorly for fine hearing with more complex tones and musical melodies. In addition

the hearing threshold of cochlear implant patients is similar to that of mild-moderate hearing loss

but it is still worse than that of such patients.

Conclusion

This study has confirmed the practicability of this platform for fine hearing ability assessment

which is expected to be further extended to the diagnosis and treatment system of hearing loss patients and the evaluation system of rehabilitation effect after auditory intervention

which has theoretical and application value.

关键词

精细听觉听力损失人工耳蜗效果评估

Keywords

Fine hearingHearing lossCochlear implantEffect evaluation

references

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