Hypersensitivity to sound - Questionnaire data, audiometry and classification
Hypersensitivity to sound - Questionnaire data, audiometry and classification
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DOI：
10.1080/010503999424653
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发表时间：
1999-01-01
期刊：
影响因子：
--
通讯作者：
Magnusson, L
中科院分区：
文献类型：
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作者：
Anari, M;Axelsson, A;Magnusson, L
这项研究包括 100 名对声音过敏的患者的连续病史和听力测定。有几种不同的情况会出现对声音过敏的症状。听力过敏就是其中之一，并且很少在文献中描述。听觉过敏一词通常与声音过敏同义。我们认为有一种特殊情况可以称为听觉过敏。听觉过敏通常是由响亮的声音或许多其他创伤或疾病引起的。这不是典型的职业噪声暴露（听音乐的情况除外）。典型的患者相对年轻，平均年龄比耳鸣或噪声性听力损失患者的平均年龄小约 10 岁。除了对声音过敏外，患者还经常患有耳鸣（86%）。声音通常会引起疼痛，并且暴露在大声的声音中会使病情在一段时间内恶化。患者常常会出现头痛的症状。纯音听力图显示听力正常或轻微高音损失。不舒服的响度水平明显降低，大多低于 90 dB HL。听力过敏患者还可分为对声音响度过敏且纯音不舒服响度水平降低的患者和对某些特定声音过敏的患者，无论响度如何，显示出相对较高的纯音不舒服响度水平和对特定声音的不舒适响度水平降低。通过仔细询问病史，可以排除其他对声音过敏症状的情况。
This study included consecutive case histories and audiometry of 100 patients with hypersensitivity to sounds. There are several different conditions with the symptom of hypersensitivity:to sounds. Hyperacusis is one of those and is seldom described in the literature. The term hyperacusis is often used synonymously with hypersensitivity to sound. We propose that there is a specific condition that could be termed hyperacusis. Hyperacusis is often elicited by loud sounds or by a number of other traumata or diseases. It is not typical occupational noise exposure (with the exception of exposure to music). The typical patient is relatively young, the mean age being approximately 10 years less than for a population of patients with tinnitus or noise-induced hearing loss. In addition to hypersensitivity to sound, the patients often suffer from tinnitus (86%). Sounds are frequently painful and exposure to loud sounds worsens the condition for some time. The patients often have headaches. Pure tone audiograms show normal hearing or a slight high tone loss. The uncomfortable loudness level is markedly decreased, mostly less than 90 dB HL. Patients with hyperacusis may also be divided into those hypersensitive to the loudness of sounds with a decreased pure tone uncomfortable loudness level and those hypersensitive to certain specific sounds irrespective of loudness showing relatively high pure tone uncomfortable loudness levels and decreased uncomfortable loudness levels to specific sounds. With a careful history other conditions with the symptom of hypersensitivity to sound can be excluded.