The characteristics of monosyllable recognition in Mandarin-speaking patients with auditory neuropathy
The characteristics of monosyllable recognition in Mandarin-speaking patients with auditory neuropathy
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DOI：
10.1080/00016489.2020.1726459
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发表时间：
2020-02
影响因子：
1.4
通讯作者：
Liangwei Xu;Wei Chen;Shuo-long Yuan;Shi-ming Yang;F. Ji
中科院分区：
文献类型：
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作者：
Liangwei Xu;Wei Chen;Shuo-long Yuan;Shi-ming Yang;F. Ji
摘要背景：一套汉语普通话单音节测试表已广泛应用于临床诊断，但普通话听神经病患者在单音节测试中的表现尚不清楚。目的：分析说普通话的AN患者单音节识别的特点。材料和方法：对19例确诊为AN的普通话患者进行操作强度(P-I)测试。根据两种情况将受试者分为两组：(1)听力图为上斜型(RS)和非上斜型(NRS)组；(2)性别为男性和女性组。结果：20dBSL和30dBSL表现与0.5、1.0、2.0和4.0 kHz(4FA)的纯音平均听阈呈负相关。我们发现RS组和NRS组的P-I功能有显著差异，令人惊讶的是，虽然配对组之间的4FA没有差异，但男性和女性之间也有显著差异。两组P-I功能均有明显的翻转现象。结论：普通话听神经炎患者的单音节再认分数表现出许多由P-I功能所反映的特殊特征。获得多个平面的完整P-I功能和翻转指数可能会为我们提供更多关于诊断和预后的信息。
Abstract Background: A set of Chinese Mandarin monosyllable test lists has been widely used in clinical diagnosis, while the performance of the Mandarin-speaking patients with auditory neuropathy (AN) in the monosyllable tests was still unknown. Objectives: To analyze the characteristics of monosyllable recognition in Mandarin-speaking patients with AN. Materials and methods: Nineteen Mandarin-speaking patients diagnosed with AN were recruited to obtain the performance-intensity (P-I) functions. They were divided into two paired groups according to two conditions: (1) the rising-slope (RS) and the non-rising-slope pattern (NRS) group for the audiogram; or (2) the male and the female group for gender. Results: The performance at 20 and 30 dB SL showed negative correlation with the pure tone-averaged thresholds of 0.5, 1.0, 2.0 and 4.0 kHz (4FA). We found significant differences between the P-I functions of the RS and the NRS group, and surprisingly found that between the male and female as well although there was no difference in 4FA between the paired groups. A notable rollover phenomenon in P-I functions was detected in each group. Conclusions: The monosyllable recognition scores of Mandarin-speaking AN patients showed numerous particular characteristics reflected by P-I functions. Acquiring the complete P-I functions at multiple presentation levels and the rollover index may give us more information about the diagnosis and prognosis.