探讨Downs法测试言语识别阈的有效性
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摘要
目的验证Downs法(1996)测试中文材料的言语识别阈(speech recognition threshold,SRT)的有效性,为临床SRT测试方法提供依据。方法选择104名受试者,分为健听组、感音神经性听力下降组和混合性听力下降组,比较Downs法(1996)与美国言语语言听力协会(Americaspeech-languagehearingassociation,ASHA)1988年发布的言语识别阈值测试方法测得的言语识别阈值、所需时间及一致性。结果 3组被试Downs法(1996)与ASHA(1988)测得的SRT值无显著差异,但Downs法(1996)测得SRT的所需时长极显著少于ASHA法(1988)(P<0.01),Downs法(1996)测得的SRT同PTA的差异在0.06～5.68dB,ASHA法(1988)所测得的SRT同PTA的差异在0.6～4.48dB。Downs法(1996)测得的SRT同PTA的一致性与ASHA法(1988)一致。结论 Downs(1996)是一种高效的言语识别阈测试方法,可用于临床工作中。
Objective To verify the validity of the method of speech recognition threshold(SRT) published by Downs(1996)using Chinese material. Methods 104 adults were recruited in the study, divided into three groups: the normal hearing group, the sensorineural hearing loss group and the mixed hearing loss group. SRTs were examined for all the subjects using the two different methods published by Downs(1996) and America Speech-Language hearing association(ASHA)(1988). The SRT values and the time consumption by the two methods were compared. Results There was no significant difference on the measured SRTs between the Downs(1996) method and the ASHA(1988) method. However, the Downs(1996) procedure was found to consume significantly less time than the ASHA(1988) procedure. The difference between SRT and PTA was 0.06～5.68 dB by Downs(1996) and 0.6～4.48 dB by the ASHA(1988). The measured SRTs via the two methods were consistent with PTA values. Conclusion The method published by Downs(1996) is fast and valid to test SRT using Chinese materials and can be implemented as a clinical speech test.
Objective To verify the validity of the method of speech recognition threshold(SRT) published by Downs(1996)using Chinese material. Methods 104 adults were recruited in the study, divided into three groups: the normal hearing group, the sensorineural hearing loss group and the mixed hearing loss group. SRTs were examined for all the subjects using the two different methods published by Downs(1996) and America Speech-Language hearing association(ASHA)(1988). The SRT values and the time consumption by the two methods were compared. Results There was no significant difference on the measured SRTs between the Downs(1996) method and the ASHA(1988) method. However, the Downs(1996) procedure was found to consume significantly less time than the ASHA(1988) procedure. The difference between SRT and PTA was 0.06～5.68 dB by Downs(1996) and 0.6～4.48 dB by the ASHA(1988). The measured SRTs via the two methods were consistent with PTA values. Conclusion The method published by Downs(1996) is fast and valid to test SRT using Chinese materials and can be implemented as a clinical speech test.
引文
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[2]American Speech-Language-Hearing Association.Guidelines for determining the threshold level for speech[J].ASHA,1979,21(1):353-355.
[3]American Speech-Language-Hearing Association.Guidelines for determining the threshold level for speech[J].ASHA,1988,30(3):85-89.
[4]中华人民共和国国家质量监督检验检疫总局中国国家标准化管理委员会.声学测听方法第3部分:言语测听.GB/T 17696-1999.
[5]中华人民共和国国家质量监督检验检疫总局中国国家标准化管理委员会.声学测听方法第3部分:言语测听.GB/T 16296.3-2017/ISO 8253-3:2012.
[6]Downs D,Minard PD.A fast valid method to measure speech recognition threshold[J].Hearing Journal,1996,8(49):34-44.
[7]王硕、张华、岳朋朋,等.双音节普通话言语测听词表的等价性评估[J].临床耳鼻咽喉科杂志.2006,20(13):590-593.
[8]中华人民共和国国家质量监督检验检疫总局中国国家标准化管理委员会.声学测听方法纯音气导和骨导听阈基本测听法纯音听阈测试标准.GB/T 16403-1996
[9]Hannula S,Bloigu R,Majamaa K,et al.Audiogram configurations among older adults:Prevalence and relation to self-reported hearing problems[J].International Journal of Audiology,2011,50(11):793-801.
[10]Chaiklin JB,Font J,Dixon RF.Spondee thresholds measured in ascending 5 dB steps[J].J Speech Hear Disord,1967,10(1):141-145.
[11]Chaiklin JB,Ventry IM.Spondee threshold measurement:a comparison of 2-and 5-dB methods[J].J Speech Hear Disord,1964,29(1):47-59.
[12]Tillman TW,Olsen WO.Speech audiometry[M].In:Jerger J,eds,Modern developments in audiology.New York:Academic Press,1973,37-74.
[13]Wall LG,Davis LA,Myers DK.Four spondee threshold procedures:a comparison[J].Ear Hear,1984,5(3):171-174.
[14]Jahner JA,Schlauch RA,Doyle T,et al.A comparison of American Speech-Language Hearing Association guidelines for obtaining speech-recognition thresholds[J].Ear and Hearing,1994,15(4):324-329.
[15]Huff SJ,Nerbonne.Comparison of the American SpeechLanguage Association and revised Tillman-Olsen methods for speech threshold measurement[J].Ear Hear,1982,3(6):335-339.
[16]Carhart R.Observation on relations between thresholds for pure tone and for speech[J].The Journal of Speech and Hearing Disorders,1971,36(4):476-483.
[17]Chien CH,Tu TY,Chien SF,et al.Relationship between Mandarin speech reception thresholds and pure-tone thresholds in the geriatric population[J].J Formos Med Assoc,2006,105(10):832-838.
[18]Chien CH,Tu TY,Shiao AS,et al.Prediction of the pure-tone average from the speech reception and auditory brainstem responses thresholds in a geriatric population[J].ORL JOtorhinolarygol Relat Spec,2008,70(6):366-372.
[19]Maeda Y,Takao S,Sugaya A,et al.Relationship between puretone audiogram findings and speech perception among older Japanese persons[J].Acta Otolaryngol,2008,138(2):140-144.
[20]Bamford JM,Wilson IM,Atkinson D,et al.Pure tone audiograms from hearing-impaired children.II.Predicting speech-hearing from the audiogram[J].Br J Audiol,1981,15(1):3-10.
[21]Surr RK,Seidman JH,Schwartz DW,et al.Effects of audiometric configuration on speech-band thresholds in sensorineural hearing loss subjects[J].Ear Hear,1982,3(5):246-250.
[2]American Speech-Language-Hearing Association.Guidelines for determining the threshold level for speech[J].ASHA,1979,21(1):353-355.
[3]American Speech-Language-Hearing Association.Guidelines for determining the threshold level for speech[J].ASHA,1988,30(3):85-89.
[4]中华人民共和国国家质量监督检验检疫总局中国国家标准化管理委员会.声学测听方法第3部分:言语测听.GB/T 17696-1999.
[5]中华人民共和国国家质量监督检验检疫总局中国国家标准化管理委员会.声学测听方法第3部分:言语测听.GB/T 16296.3-2017/ISO 8253-3:2012.
[6]Downs D,Minard PD.A fast valid method to measure speech recognition threshold[J].Hearing Journal,1996,8(49):34-44.
[7]王硕、张华、岳朋朋,等.双音节普通话言语测听词表的等价性评估[J].临床耳鼻咽喉科杂志.2006,20(13):590-593.
[8]中华人民共和国国家质量监督检验检疫总局中国国家标准化管理委员会.声学测听方法纯音气导和骨导听阈基本测听法纯音听阈测试标准.GB/T 16403-1996
[9]Hannula S,Bloigu R,Majamaa K,et al.Audiogram configurations among older adults:Prevalence and relation to self-reported hearing problems[J].International Journal of Audiology,2011,50(11):793-801.
[10]Chaiklin JB,Font J,Dixon RF.Spondee thresholds measured in ascending 5 dB steps[J].J Speech Hear Disord,1967,10(1):141-145.
[11]Chaiklin JB,Ventry IM.Spondee threshold measurement:a comparison of 2-and 5-dB methods[J].J Speech Hear Disord,1964,29(1):47-59.
[12]Tillman TW,Olsen WO.Speech audiometry[M].In:Jerger J,eds,Modern developments in audiology.New York:Academic Press,1973,37-74.
[13]Wall LG,Davis LA,Myers DK.Four spondee threshold procedures:a comparison[J].Ear Hear,1984,5(3):171-174.
[14]Jahner JA,Schlauch RA,Doyle T,et al.A comparison of American Speech-Language Hearing Association guidelines for obtaining speech-recognition thresholds[J].Ear and Hearing,1994,15(4):324-329.
[15]Huff SJ,Nerbonne.Comparison of the American SpeechLanguage Association and revised Tillman-Olsen methods for speech threshold measurement[J].Ear Hear,1982,3(6):335-339.
[16]Carhart R.Observation on relations between thresholds for pure tone and for speech[J].The Journal of Speech and Hearing Disorders,1971,36(4):476-483.
[17]Chien CH,Tu TY,Chien SF,et al.Relationship between Mandarin speech reception thresholds and pure-tone thresholds in the geriatric population[J].J Formos Med Assoc,2006,105(10):832-838.
[18]Chien CH,Tu TY,Shiao AS,et al.Prediction of the pure-tone average from the speech reception and auditory brainstem responses thresholds in a geriatric population[J].ORL JOtorhinolarygol Relat Spec,2008,70(6):366-372.
[19]Maeda Y,Takao S,Sugaya A,et al.Relationship between puretone audiogram findings and speech perception among older Japanese persons[J].Acta Otolaryngol,2008,138(2):140-144.
[20]Bamford JM,Wilson IM,Atkinson D,et al.Pure tone audiograms from hearing-impaired children.II.Predicting speech-hearing from the audiogram[J].Br J Audiol,1981,15(1):3-10.
[21]Surr RK,Seidman JH,Schwartz DW,et al.Effects of audiometric configuration on speech-band thresholds in sensorineural hearing loss subjects[J].Ear Hear,1982,3(5):246-250.