法医学杂志

法医学杂志 ›› 2011, Vol. 27 ›› Issue (3): 182-185.DOI: 10.3969/j.issn.1004-5619.2011.03.006

• 论著 • 上一篇    下一篇

颅顶慢反应在听力障碍者行为听阈评估中的应用

刘  会1，2，朱广友1，范利华1，周晓蓉1，刘训伟3，杨小萍1   

  1. （1. 司法部司法鉴定科学技术研究所 上海市法医学重点实验室，上海 200063； 2． 中国政法大学 证据科学教育部重点实验室，北京 100040； 3. 中国人民解放军第八五医院 耳鼻喉科，上海 200052）
  • 发布日期:2011-06-25 出版日期:2011-06-28
  • 通讯作者: 通信作者：杨小萍，女，副主任法医师，主要从事听力损伤的鉴定和研究；E-mail：yangxp@ssfjd.cn
  • 作者简介:刘会（1984—），女，河南柘城人，硕士，主要从事法医临床学鉴定工作；E-mail：hhcomeon@126.com

Application of Slow Vertex Response in Auditory Threshold Prediction for Subjects with Hearing Loss

LIU HUI1,2, ZHU GUANG-YOU1, FAN LI-HUA1, ZHOU XIAO-RONG1, LIU XUN-WEI3, YANG XIAO-PING1   

  1. （1. Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, P.R.China, Shanghai 200063, China; 2. Key Laboratory of Evidence Science, China University of Political Science and Law, Ministry of Education, Beijing 100040, China; 3. Department of Otorhinolaryngology, the 85th Hospital of Chinese People’s Liberation Army, Shanghai 200052, China）
  • Online:2011-06-25 Published:2011-06-28

被引次数

4

摘要： 目的 通过比较听力障碍者的颅顶慢反应（slow vertex response，SVR）阈值与纯音测听（pure tone audiometry，PTA）阈值的关系，探讨SVR检测技术在法医学听觉功能障碍鉴定中的应用价值。 方法 对25名感音神经性听力障碍者（40耳）分别进行PTA及SVR测试，根据PTA阈值分成轻度、中度及重度听力障碍组，然后用秩和检验对各组的SVR阈值及PTA阈值比较，并对SVR阈值与PTA阈值进行相关分析，拟出根据受试者SVR阈值推导受试者行为听阈的线性回归方程。 结果 在各个检测频率，SVR阈值与PTA阈值均高度相关。并可拟出一元线性回归方程，其相关系数（r）在0.5、1、2和4 kHz分别为0.971、0.976、0.957和0.928（P＜0.05）。回代检验结果表明，应用一元线性回归方程评估听力有望成为一个简单可行的方法。 结论 根据建立的应用SVR阈值推断行为听阈的线性回归方程可以较准确地评估受试者的行为听阈。

关键词: 法医学, 听阈, 测听法, 纯音, 颅顶慢反应, 听力障碍

Abstract: Objective To study the value of slow vertex response（SVR） in the evaluation of hearing loss by comparing the hearing thresholds acquired with SVR and pure tone audiometry（PTA）. Methods Twenty-five subjects（40 ears） with sensorineural hearing loss were tested by PTA and SVR. According to the thresholds of PTA, these ears were subdivided into mild, moderate and severe hearing loss groups, and rank sum test was performed on the thresholds of SVR and PTA for all the hearing loss groups. Then, the correlation between PTA thresholds and SVR thresholds was analyzed and the mathematical models were established for predicting behavioral thresholds by the thresholds of SVR. Results At four test frequencies（0.5, 1, 2 and 4 kHz）, the thresholds of SVR had high correlations with thresholds of PTA. Four liner regression equations were established, and the correlation coefficient（r） were 0.971, 0.976, 0.957 and 0.928, respectively（P＜0.05）. Back substitution test showed that the liner regression equations would be an easy method for estimating the behavior thresholds. Conclusion The behavioral threshold can be well judged and evaluated by the liner regression equations established with SVR thresholds.

Key words: forensic medicine, auditory threshold, audiometry, pure-tone, slow vertex response, hearing disorders

中图分类号: