可靠的长期连续评估的耳功能使用脉冲扭曲产品的耳声发射:分析水平和压力时间课程
Katharina Bader1, Ernst Dalhoff2, Linda Dierkes1
1Department of Otolaryngology, Head and Neck Surgery, Eberhard-Karls-University Tübingen, Tübingen, Germany.
Ear and hearing
|May 29, 2024
概括
这项研究引入了一种可靠的脉冲扭曲产物音响发射 (DPOAE) 协议,用于监测耳放大器功能. 拟议的方法提高了测试复试可靠性,用于跟踪由于治疗或噪声暴露的变化.
科学领域:
- 听力学 听力学是指听力学.
- 耳声波排放 耳声波排放 耳声波排放
- 耳生理学 耳生理学
背景情况:
- 扭曲产物音声发射 (DPOAEs) 对于评估耳放大器功能至关重要.
- 目前的DPOAE协议缺乏对串行测量的标准化,这阻碍了对功能变化的准确检测.
- 诸如探针放置,校准,信号处理和刺激参数等因素使串行DPOAE监控复杂化.
研究的目的:
- 为在连续测量中使用DPOAE建立一个国际标准.
- 准确检测由耳毒疗法,噪音或再生治疗引起的耳放大器功能的变化.
- 调查不同DPOAE指标的连续监控的测试-重新测试可靠性.
主要方法:
- 脉冲DPOAEs在3个月内测量了7次,对20只健康的耳朵进行了测量.
- 刺激参数 (f2,L2) 有所变化,其中L1来自个别最佳路径参数.
- 评估了三个DPOAE指标 (LOD,LDP,t,相关系数) 的测试-重新测试可靠性.
主要成果:
- LOD和LDP (t) 的绝对差异中位数分别为1.93dB和2.52dB.
- DPOAE外压力之间的相关系数显示中位数为0.988.8.
- 随着信号与噪声比率 (SNR) 的提高,LOD的测试-重新测试可靠性得到了改善,特别是在低到高频段.
结论:
- 提出了用于串行监控的新型DPOAE协议,解决了当前方法的关键局限性.
- 该协议强调分离组件,最佳的个体刺激参数和足够的SNR (≥15 dB).
- 准确的校准,考虑频率/级别依赖的可靠性,以及优化刺激水平是精确的耳放大器评估的建议.
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