瞬态诱发耳声发射检测职业性听力损伤的可行性研究

目的 :探讨瞬态诱发耳声发射 (TEOAE)检测职业性听力损伤的可行性及临床应用价值。方法 :选择 90例 (180耳 )噪声暴露工人为实验总组 ,按噪声暴露时间长短又分为 1、2、3组 ;另选 11例 (2 2耳 )正常听力青年人作为对照组 ,行纯音听阈和TEOAE测试。结果 :各实验组纯音听阈值明显高于对照组 ,TEOAE总重复率、幅值和信噪比及各频段重复率、幅值和信噪比明显低于对照组 (P <0 .0 5或P <0 .0 1)。实验 1、2、3组间比较 ,随着噪声接触时间的增加 ,各频率点纯音听阈提高 ,TEOAE总重复率、幅值和信噪比及各频段重复率、幅值和信噪比变小 ,在 2 .5 0～ 3.5 0kHz和 3.5 0～ 4 .5 0kHz频段最明显。结论 :用TEOAE检测职业性听力损伤是可行的 ,有临床应用价值 ,最敏感频段为 2 .5 0～ 3.5 0kHz和 3.5 0～ 4 .5 0kHz频段。

A clinical study about occupational noise-induced hearing loss measured and diagnosed with transient evoked otoacoustic emissions

OBJECTIVE: To study the feasibility and clinical values of occupational noise-induced hearing loss measured, evaluated and diagnosed with transient evoked otoacoustic emissions (TEOAE). METHOD: Pure tone threshold and TEOAE were performed in 11 (22 ears) young adults with normal hearing of control group and 90 (180 ears) noise exposure workers of test group. According to length of noise exposure time, test group was disparted to test 1,2,3 groups. Stimulated tone of TEOAE is non-linearity click of 80 dB SPL. RESULT: In test group and test 1,2,3 group against control, pure tone threshold in all frequency increased significantly, and correlation, strength and SNR of TEOAE in overall and every frequency declined significantly (P<0.05 or P<0.01). To observe test 1,2,3 group, It was found that pure tone threshold in all frequency increased and correlation, strength and SNR of TEOAE in overall and every frequency declined, when length of noise exposure time is increased. In 2.50-3.50 and 3.50-4.50 kHz, measuring values of TEOAE declined most significantly. CONCLUSION: Occupational noise-induced hearing loss can been measured and diagnosed significantly with TEOAE. The best observed contents is correlation, strength and SNR of TEOAE in overall and every part frequency. The best sensitivity observed frequency parts of TEOAE is 2.50-3.50 and 3.50-4.50 kHz.