Investigation of the Relationship between Auditory Steady-State Response Thresholds and Pure-Tone Audiometry Thresholds in Noise-Induced Hearing Loss Patients

CHEN Yun; YANG Xia; CHEN Yue-mei; OUYANG Dong-hai

doi:10.3969/j.issn.1672-4933.2025.01.010

您当前的位置：

首页 >

文章列表页 >

Investigation of the Relationship between Auditory Steady-State Response Thresholds and Pure-Tone Audiometry Thresholds in Noise-Induced Hearing Loss Patients

Clinical Research | 更新时间：2026-07-11

- Investigation of the Relationship between Auditory Steady-State Response Thresholds and Pure-Tone Audiometry Thresholds in Noise-Induced Hearing Loss Patients
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 23, Issue 1, Pages: 39-42(2025)
- 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：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.01.010
  CLC： R764.5
- Received：29 May 2024，
  
  Published：15 January 2025
- 稿件说明：
移动端阅览
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

Johnson TA , Cooper S , Stamper GC , et al . Noise Exposure Questionnaire: A Tool for Quantifying Annual Noise Exposure [J ] . J Am Acad Audiol , 2017 , 28 ( 1 ): 14 - 35 .

Blair M , Slagley J , Schaal NC . Effect of noise and ototoxicants on developing standard threshold shifts at a U.S. Air Force depot level maintenance facility [J ] . J Occup Environ Hyg , 2021 , 18 ( 7 ): 323 - 333 .

Dau T , Wagner O , Mellert V , et al . Auditory steady-state responses with optimized chirp signals compensating basilar membrane dispersion [J ] . J Acoust Soc Am , 2000 , 107 ( 3 ): 1530 - 1540 .

雷艳 , 刘绮明 , 黄伟洛 . Chirp声刺激信号发展过程及其应用进展 [J ] . 中华耳科学杂志 , 2021 , 19 ( 5 ): 860 - 865 .

Elberling C , Don M , Cebulla M , et al . Auditory steady-state responses to chirp stimuli based on cochlear traveling wave delay [J ] . The Journal of the Acoustical Society of America , 2007 , 122 ( 5 ): 2772 - 2785 .

GBZ ( 卫生) 49-2014,职业性噪声聋的诊断 [S ] .

魏凡钦 , 张官萍 , 陆钊群 , 等 . 儿童频率特异性chirp听性稳态反应与行为测听的相关性 [J ] . 中华耳科学杂志 , 2014 , 12 ( 2 ): 235 - 238 .

GB/T 7583-1987 , 声学纯音气导听阈测定听力保护用 [S ] .

GB/T 16296.1-2018 , 声学测听方法第1部分:纯音气导和骨导测听法 [S ] .

Smith AW . The World Health Organisation and the prevention of deafness and hearing impairment caused by noise [J ] . Noise Health , 1998 , 1 ( 1 ): 6 - 12 .

Dasgupta A , Manna N , Sau M . Observations of noise induced hearing loss in a heavy engineering industry in Kolkata [J ] . Indian J Public Health , 2009 , 53 ( 4 ): 214 - 217 .

Wu J , Wang F , Wang DM , et al . Investigation of occupational noise exposure and hearing loss among automobile manufacturing workers [J ] . Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi . 2021 , 39 ( 8 ): 593 - 597 .

Liu QC , Duo CH , Wang Z , et al . Analysis on occupational noise-induced hearing loss of different type workers in underground mining [J ] . Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi . 2017 , 35 ( 11 ): 852 - 854 .

朱一鸣 . 多频稳态诱发电位与听性脑干反应对高频听阈听力诊断的相关性研究 [D ] . 青海大学 , 2020 .

Lin YH , Ho HC , Wu HP . Comparison of auditory steady-state responses and auditory brainstem responses in audiometric assessment of adults with sensorineural hearing loss [J ] . Auris Nasus Larynx , 2009 , 36 ( 2 ): 140 - 145 .

Yu SF , Chen GS , Jiao J , et al . A cohort study on occupational noise induced hearing loss in workers at an iron and steel plant [J ] . Zhonghua Yu Fang Yi Xue Za Zhi . 2017 , 51 ( 1 ): 13 - 19 .

Kuang D , Yu YY , Yang Y , et al . High frequency hearing loss detection rate in occupational noise exposed workers in China: a Meta-analysis [J ] . Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi , 2021 , 39 ( 3 ): 184 - 189 .

Dasgupta A , Manna N , Sau M . Observations of noise induced hearing loss in a heavy engineering industry in Kolkata [J ] . Indian J Public Health , 2009 , 53 ( 4 ): 214 - 217 .

Views

123

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Interpretation of the Group Standard Guidelines of the Association for Fitting Hearing Aids to Children

Exploration and Practice of Group Activity Mode for Children with Autism Spectrum Disorder in the Context of Medical and Educational Integration

Study on the Influencing Factors of Voice Onset Time of Stop Consonants in Preschool Hearing-Impaired Children

Multifactorial Analysis of the Disease Burden in Age-Related Hearing Loss

Intelligent Simplified Assessment Method for Elderly Hearing Loss in Communities

Related Author

No data

Related Institution

No data

⁰