听力学及言语疾病杂志
聽力學及言語疾病雜誌
은역학급언어질병잡지
JOURNAL OF AUDIOLOGY AND SPEECH PATHOLOGY
2014年
1期
22-25
,共4页
双音节词%言语测听%言语识别阈
雙音節詞%言語測聽%言語識彆閾
쌍음절사%언어측은%언어식별역
Disyllable%Speech audiometry%Speech recognition threshold
目的：比较手动测试取值与软件自动描记取值所得普通话双音节词汇表言语识别阈（speech recog-nition threshold ，SRT ），并探讨其临床应用的意义。方法选取128例正常人（听力正常组）以及57例从事噪声作业的工人（噪声组）为受试对象，均以普通话作为日常交流方式。应用丹麦Madsen Conera临床诊断听力计，采用难度等价性一致的一组双音节词汇表作为测试材料，测试初始给声强度为PT A上20 dB ，将手动取值获得的言语识别阈与Conera听力计工作软件自动生成的言语识别阈进行对比分析。结果听力正常组语频听阈均值7．63±5．78 dB HL ，自动取值所得SRT为7．84±3．98 dB HL ，手动取值所得SRT 为9．19±4．47 dB HL ；噪声组语频听阈均值27．18±19．13 dB HL ，自动取值所得SRT 为16．10±8．40 dB HL ，手动取值所得的SRT 为18．81±9．52 dB HL。两组手动取值所得的SRT值高于自动取值所得的SRT值（P＜0．01）。结论自动取值SRT与手动取值SRT有差异，听力正常人的言语识别阈可用自动取值方法测试，便于听力正常人群的筛查；对听力障碍人群的SRT检查，更适合应用手动测试取值方法。
目的：比較手動測試取值與軟件自動描記取值所得普通話雙音節詞彙錶言語識彆閾（speech recog-nition threshold ，SRT ），併探討其臨床應用的意義。方法選取128例正常人（聽力正常組）以及57例從事譟聲作業的工人（譟聲組）為受試對象，均以普通話作為日常交流方式。應用丹麥Madsen Conera臨床診斷聽力計，採用難度等價性一緻的一組雙音節詞彙錶作為測試材料，測試初始給聲彊度為PT A上20 dB ，將手動取值穫得的言語識彆閾與Conera聽力計工作軟件自動生成的言語識彆閾進行對比分析。結果聽力正常組語頻聽閾均值7．63±5．78 dB HL ，自動取值所得SRT為7．84±3．98 dB HL ，手動取值所得SRT 為9．19±4．47 dB HL ；譟聲組語頻聽閾均值27．18±19．13 dB HL ，自動取值所得SRT 為16．10±8．40 dB HL ，手動取值所得的SRT 為18．81±9．52 dB HL。兩組手動取值所得的SRT值高于自動取值所得的SRT值（P＜0．01）。結論自動取值SRT與手動取值SRT有差異，聽力正常人的言語識彆閾可用自動取值方法測試，便于聽力正常人群的篩查；對聽力障礙人群的SRT檢查，更適閤應用手動測試取值方法。
목적：비교수동측시취치여연건자동묘기취치소득보통화쌍음절사회표언어식별역（speech recog-nition threshold ，SRT ），병탐토기림상응용적의의。방법선취128례정상인（은력정상조）이급57례종사조성작업적공인（조성조）위수시대상，균이보통화작위일상교류방식。응용단맥Madsen Conera림상진단은력계，채용난도등개성일치적일조쌍음절사회표작위측시재료，측시초시급성강도위PT A상20 dB ，장수동취치획득적언어식별역여Conera은력계공작연건자동생성적언어식별역진행대비분석。결과은력정상조어빈은역균치7．63±5．78 dB HL ，자동취치소득SRT위7．84±3．98 dB HL ，수동취치소득SRT 위9．19±4．47 dB HL ；조성조어빈은역균치27．18±19．13 dB HL ，자동취치소득SRT 위16．10±8．40 dB HL ，수동취치소득적SRT 위18．81±9．52 dB HL。량조수동취치소득적SRT치고우자동취치소득적SRT치（P＜0．01）。결론자동취치SRT여수동취치SRT유차이，은력정상인적언어식별역가용자동취치방법측시，편우은력정상인군적사사；대은력장애인군적SRT검사，경괄합응용수동측시취치방법。
Objective To compare the results of manually -tested speech recognition threshold (SRT ) with automatically software -recorded SRT in the trial of Mandarin disyllabic test ,exploring the significance to the clini-cal applying .Methods 128 normal people of different ages without hearing loss and 57 workers exposed to noise in an automobile manufacturing was selected .These two group of volunteers speak mainly Mandarin in their daily life . MADSEN Conera (Danmark) clinical audiometr was applied .A group of double syllable word list with the same dif-ficulty of equivalence was used as test material .The initial presentation level was 20 dB HL higher than PTA .Then compared the results of manually -tested SRT with automatically software -recorded SRT .Results In the normal group ,the automatic value SRT was 7 .84 ± 3 .98 dB HL ,the manual value was 9 .19 ± 4 .47 dB HL ,and the average value of speech frequency threshold was 7 .63 ± 5 .78 dB HL .In the noise group ,the automatic value SRT was 6 .10 ± 8 .40 dB HL ,the manual value was 18 .81 ± 9 .52 dB HL ,and the average value of language frequency threshold was 27 .18 ± 19 .13 dB HL .There was significant difference between the values of SRT tested manually and recorded automatically (P<0 .01) .Conclusion There are differences between SRT valued manually and automatically .The SRT in people with normal hearing can be tested using automatic -recorded method .This method is convenient for screening in people without hearing loss .To exam in people with hearing loss ,the manual test is more appropriate .
