改良版中文数字三联音测试材料开发及其有效性研究

钱伟宸; 曹沁霖; 黄美萍; 朱珺妍; 金宇琪; 韩谨严; 黄治物

doi:10.3969/j.issn.1672-4933.2026.02.010

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改良版中文数字三联音测试材料开发及其有效性研究

临床研究 | 更新时间：2026-07-30

- 改良版中文数字三联音测试材料开发及其有效性研究
- The Development and Validation of Revised Mandarin Digit Triplet Test Material
- 中国听力语言康复科学杂志 2026年24卷第2期页码：163-168
- 作者机构：
  
  1.上海交通大学医学院医学技术学院听力与言语康复系上海 200125
  2.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 200011
  3.上海交通大学安泰经济与管理学院上海 200030
- 作者简介：
  
  钱伟宸本科；研究方向：听力与言语康复学
  曹沁霖本科；研究方向：听力与言语康复学
  黄治物，E-mail： huangzw086@163.com
- 基金信息：
  
  上海市科委科技创新行动计划“基于耳蜗突触病变神经标志物的隐性听力损失早期诊断临床研究”(22Y11902000)
- DOI：10.3969/j.issn.1672-4933.2026.02.010
  中图分类号： R764.43
- 收稿：2025-09-17，
  
  网络首发：2026-03-17，
  
  纸质出版：2026-03-15
- 稿件说明：
移动端阅览
钱伟宸,曹沁霖,黄美萍等.改良版中文数字三联音测试材料开发及其有效性研究[J].中国听力语言康复科学杂志,2026,24(02):163-168.

QIAN Wei-chen,CAO Qin-lin,HUANG Mei-ping,et al.The Development and Validation of Revised Mandarin Digit Triplet Test Material[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(02):163-168.
钱伟宸,曹沁霖,黄美萍等.改良版中文数字三联音测试材料开发及其有效性研究[J].中国听力语言康复科学杂志,2026,24(02):163-168. DOI： 10.3969/j.issn.1672-4933.2026.02.010.

QIAN Wei-chen,CAO Qin-lin,HUANG Mei-ping,et al.The Development and Validation of Revised Mandarin Digit Triplet Test Material[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(02):163-168. DOI： 10.3969/j.issn.1672-4933.2026.02.010.

摘要

目的

探讨改良版中文数字三联音测试的有效性，提高老年听力筛查的准确性。

方法

设计开发改良版中文数字三联音测试材料，选取60岁以上老年人203例进行声导抗、纯音听阈测试、安静和噪声条件下的改良版数字三联音测试，分析该测试与纯音听阈测试结果的相关性，得出受试者工作特征曲线（receiver operating characteristic， ROC）以计算曲线下面积（area under the curve，AUC），最佳截断值及其对应的敏感度特异度，诊断符合率。

结果

①改良版数字三联音测试与纯音听阈测试存在显著正相关（安静下

=0.86，噪声下

=0.71，

=0.001）；②基于较好耳分类，在区分是否存在听力损失（PTA

0.5～4 kHz

＜20 dB HL为不存在）时，安静条件下AUC=0.90，最佳截断值=28.71 dB，特异度=0.96，敏感度=0.75和噪声条件下AUC=0.78，最佳截断值=-9.16 dB，特异度=0.68，敏感度=0.82（

均＜0.001）。在区分是否存在中度及以上听力损失（PTA

0.5～4 kHz

＜35 dB HL为不存在）时，在安静条件下AUC=0.94，最佳截断值=38.08 dB，特异度=0.95，敏感度=0.78与噪声条件下AUC=0.87，最佳截断值=-6.85 dB，特异度=0.89，敏感度=0.73（

均＜0.001）。

结论

改良版中文数字三联音筛查测试在安静与噪声环境下均能有效区分不同程度的老年听力损失，其中安静环境下区分更有效，可作为老年听力筛查的有效工具。

Abstract

Objective

This study aimed to develop and validate a revised Mandarin digit triplet test(DTT) for use in future hearing screening of older adults

with the goal of improving screening accuracy.

Methods

A total of 202 elderly individuals aged 60 years and above were enrolled to undergo tympanometry

pure-tone audiometry

and the revised DTT in both quiet and noise. Correlations between DTT scores and pure-tone thresholds were calculated. Receiver-operating-characteristic (ROC) curves were constructed to obtain the area under the curve (AUC)

optimal cut-off

and corresponding sensitivity

specificity

and diagnostic accuracy.

Results

Revised DTT and pure tone audiometry test showed significant positive correlation (quiet:

=0.86

noise:

=0.71

=0.001). Based on the better ear classification

when distinguishing the presence or absence of hearing loss (PTA

0.5-4 kHz

20 dB HL as absence)

under quiet conditions AUC=0.90

optimal cut-off=28.71 dB

specificity=0.96

sensitivity=0.75

and under noise conditions AUC=0.78

optimal cut-off=-9.16 dB

specificity=0.68

sensitivity=0.82 (all

values

0.001). When distinguishing the presence or absence of moderate or above hearing loss (PTA

0.5-4 kHz

35 dB HL as absence)

under quiet conditions AUC=0.94

optimal cut-off=38.08 dB

specificity=0.95

sensitivity=0.78

and under noise conditions AUC=0.87

optimal cut-off=-6.85 dB

specificity=0.89

sensitivity=0.73 (all

values

0.001).

Conclusion

The revised DTT screening test can effectively differentiate varying degrees of age-related hearing loss in both quiet and noisy environments

with better performance in quiet conditions

and can serve as an effective tool for hearing screening in older adults.

关键词

Keywords

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