基于互联网的成人听力筛查材料特征值的建立

亓贝尔; 张天博; 傅新星; 李国平

doi:10.13201/j.issn.1001-1781.2018.03.011

基于互联网的成人听力筛查材料特征值的建立

- 1. 首都医科大学附属北京同仁医院北京市耳鼻咽喉科研究所耳鼻咽喉头颈科学教育部重点实验室(首都医科大学)(北京, 100005);
- 2. 英国南安普顿大学声学与振动研究所
基金项目:
北京市科技新星项目（No：Z151110000315064）；北京市卫生系统高层次卫生技术人才培养计划（No：2015-3-019）

详细信息

通讯作者: 亓贝尔,E-mail:beierqi@qq.com

中图分类号: R764

收稿日期: 2017-08-19

Establishment of the characterization of an adult digits-in-noise test based on internet

- 1. Beijing Tongren Hospital, Capital Medical University, Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, Beijing, 100005, China;
- 2. Institute of Sound and Vibration Research, University of Southampton

More Information

Corresponding author: QI Beier, E-mail: beierqi@qq.com

Received Date: 19 August 2017

摘要

摘要: 目的：探究基于互联网技术的噪声下数字识别阈（DIN）测试发现感音神经性聋的灵敏度和特异性，以期为临床提供一种快速有效的筛查工具。方法：本研究招募50例成人受试者，其中听力正常人34例、感音神经性聋患者16例。依次完成纯音听阈测试、声导抗测试以及噪声下DIN测试。采用皮尔逊相关系数分析纯音听阈与噪声下DIN阈值的相关性，采用受试者工作特征曲线（ROC曲线）及曲线下面积确定该测试材料的特征值、灵敏度和特异性。结果：①本组受试者噪声下DIN阈值与纯音平均听阈PTA_{（500+1 000+2 000+4 000）Hz}之间呈高度相关（皮尔逊相关系数=0.85，P<0.01），2种测试方法的相关性优于荷兰语版本测试材料。②基于互联网技术的噪声下DIN测试材料的最佳诊断截点为-0.95 dB，即噪声下DIN阈值大于该值时则怀疑存在听力损失，应转诊至听力中心进行诊断学检查。③以-0.95 dB为最佳诊断截点时该测试材料发现感音神经性聋的灵敏度为0.938、特异性为0.941。结论：基于互联网技术的噪声下DIN测试具有操作简便、易于推广、敏感度和特异性高的特点，可为实施大群体成人听力筛查提供一种有效工具。
- 成人 /
- 听力筛查 /
- 互联网
Abstract: Objective: The aim of this study is to explore the sensitivity and specificity of the internet-based digital noise threshold (DIN) test for detecting noise-induced hearing loss, expecting to provide a rapid and effective screening tool for clinical application.Method: This study enrolled 50 adult subjects, of which 34 were normal hearing (NH), 16 patients with sensorineural hearing loss (SNHL). Pure-tone audiometry, acoustic immittance and DIN test were tested respectively. Pearson's correlation coefficient was used to analyze the correlation between NH and SNHL. The eigenvalues, sensitivities and specificities of the tested materials were determined by receiver operating characteristic curve (ROC curve) and the area under the curve.Result: ①The correlation between the speech recognition threshold (SRTn) and pure tone audiometry thresholds (average of 0.5, 1, 2 and 4 kHz) was 0.85 (P<0.01). ②The optimal cut off point for DIN-based test materials under noise based on Internet technology was -9.5 dB, which means that hearing loss is highly suspect when DIN is above this value under noise and should be referred to a hearing center for diagnostic tests. ③The sensitivity and specificity was 0.938 and 0.941 respectively with -0.95 dB as the best cutoff point.Conclusion: This DIN test based on Internet,which has an excellent performance as a hearing screening method with good sensitivity and specificity, could be an effective tool for large-scale adult hearing screening.
- adults /
- hearing screening /
- internet

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