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使用瞳孔扩张对声音的反应作为标准听力测试的可靠替代品的挑战
Maria Paola Tramonti Fantozzi1, Antonino Crivello2, Davide La Rosa2
1Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, Pisa, Italy.
Heliyon
|March 14, 2025
概括
瞳孔膨胀反应 (PDR) 不是用于评估新生儿和不合作患者使用标准音调的听力可靠的客观测量. 显著的PDR仅在少数受试者身上发现,主要是在低光条件下.
科学领域:
- 听力学 听力学是指听力学.
- 神经科学是一个神经科学.
- 眼科医生 眼科 眼科
背景情况:
- 在新生儿和不合作的个体中评估听力存在重大挑战.
- 瞳孔膨胀反应 (PDR) 为听力评估提供了一个潜在的客观生理测量方法.
研究的目的:
- 评估使用PDR作为听力评估的客观措施的可行性.
- 为了确定PDR在响应听觉刺激时是否可靠地表明听觉感知.
主要方法:
- 在听力正常的受试者中,平均PDR被记录为响应可听的音色序列.
- 该研究比较了PDR在两个不同的照明条件下.
- 统计分析评估了平均PDR是否与随机学生痕迹平均值有显著差异.
主要成果:
- 仅在少数受试者身上发现了对声音的显著PDR,主要是在低亮度条件下.
- 在低亮度组中,PDR的总平均值明显高于对照组.
- 在最佳条件下,在至少一个区块的40%的受试者中观察到显著的PDR.
结论:
- 对标准听力学刺激的PDR不是听觉感知的可靠指标.
- 为了可靠的基于PDR的听力评估,可能需要修改声音输入和刺激协议.
相关概念视频
Hearing
When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
Echo
The human ear cannot distinguish between two sources of sound if they happen to reach within a specific time interval, typically 0.1 seconds apart. More than this, and they are perceived as separate sources.
Imagine the sound is reflected back to the ears. Assuming that the source is very close to the human, the difference between hearing the two sounds—the emitted sound and the reflected sound—may be more than the minimum time for perceiving distinct sounds. If this is the case, then the...
Imagine the sound is reflected back to the ears. Assuming that the source is very close to the human, the difference between hearing the two sounds—the emitted sound and the reflected sound—may be more than the minimum time for perceiving distinct sounds. If this is the case, then the...
Auditory Perception
The auditory system is essential for sound perception, utilizing various critical structures. When sound waves enter the outer ear, they travel through the ear canal and cause the eardrum to vibrate. These vibrations are then transmitted to the middle ear, where three tiny bones – the malleus, incus, and stapes – amplify the sound. This amplification is crucial, as it ensures that the sound vibrations are strong enough to be conveyed to the inner ear. These vibrations then reach the cochlea, a...

