一种自助听力测评系统的初步评估.pdfVIP

临床研究 Chinese Scientific Journal of Hearing and Speech Rehabilitation doi:10.3969/j.issn.1672-4933.2015.06.010 一种自助听力测评系统的初步评估 The Preliminary Evaluation of an Automated Hearing Test System ■魏佩芳1# 刘玉奇2# 王丽燕1 薛静1 于丽玫1 穆晨1 桑晋秋3 洪焦4 孙超2 WEI Pei-fang,LIU Yu-qi,WANG Li-yan,XUE Jing,YU Li-mei,MU Chen,SANG Jin-qiu,HONG Jiao,SUN Chao 【摘要】目的 对一种自助听力测评系统进行初步临床评估，为其在大范围人群推广应用提供实验依据。方法 95例志愿 者采用自助听力测评系统在噪声小于45 dB（A）的非隔声室环境下自主进行250、500、1000、2000、4000 Hz阈值的测试，然 后由专业人员采用GSI-61纯音听力计（在本底噪声低于30 dB（A）的标准隔声室中）进行相同频率阈值的测试，计算各频率 阈值差值。根据两种方法测得的平均听阈分别对所有受试者进行听力障碍分级，应用Kappa检验进行一致性分析。计算系统 诊断中度及以上听力障碍的灵敏度和特异度。结果 自助听力测评系统与纯音听力计测得的阈值吻合度较好。Kappa检验显 示根据两种方法进行听力障碍分级的结果具有很好的一致性（Kappa=0.858，P=0.00）。系统诊断中度及以上听力损失的 灵敏度为100%，特异度为98.9%。结论 本自助听力测评系统提供了一种快速便捷的自助式听力测评方法，经对比试验验证 测得的结果较为准确，但需进一步在较大规模人群中进行应用验证。 【关键词】自助听力测评系统；纯音测听；听力障碍 【Abstract】Objective To conduct a preliminary clinical evaluation for an automated hearing test system in order to provide experimental evidences for its application to large-scale population. Methods A total of 95 volunteers performed a hearing test with the automated hearing test system by themselves in a quiet room with background noise less than 45 dB(A) and received pure-tone audiometry with GSI-61 clinical audiometer by audiologists in a soundproof room with background noise less than 30 dB(A). The hearing thresholds at 250, 500, 1000, 2000 and 4000 Hz were obtained and the differences between the two methods were compared. The degree of hearing impairment of each volunteer was assessed according to the results of the two methods respectively and the Kappa test was applied to analyze the consistency of the results. The sensitivity and specificity of the system in detecting the moderate and more severe hearing impairment were calculated. Results The consistency of hearing thres