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研究目的:为了探讨一种更方便,更敏捷的耳蜗性聋的检查方法,对声音听反射潜伏期测试与诊断耳蜗性聋的相关性进行初步探讨。研究方法:按照纳入标准纳入耳蜗性聋140例(耳例数)包括老年性聋34耳,梅尼埃病34耳,噪声性聋35耳,突发性聋37耳,正常人60例,应用临床流行病学DME方法,对病例样本的ARLT值分组对照研究。研究结果:正常组的ARLT(同侧)均数标准差为114.48±24.48,平均值114.48,其余四组耳蜗性聋组的ARLT(同侧)平均值全部为100.80以下,说明耳蜗性聋ARLT(同侧)值小于正常组ARLT(同侧)值;正常组与四组耳蜗性聋组ARLT(对侧)值比较,差异有统计学意义(P<0.001);ARLT(同侧)采用诊断性试验进行ROC曲线分析,检验水平α=0.05。ROC曲线面积为0.809,大于0.5,P=0.000,有统计学意义。结论:声反射潜伏期(ARLT)可作为鉴别耳蜗性聋及蜗后性聋的指标,为进一步建立声反射潜伏期的诊断标准,补充耳蜗性聋与蜗后性聋的鉴别方法打下研究基础。
Objective: To explore a more convenient and agile cochlear deafness test, the relationship between auditory reflex latency test and diagnosis of cochlear deafness was explored. Methods: According to inclusion criteria included 140 cases of cochlear deafness (ears) including 34 ears of senile deafness, 34 ears of Meniere’s disease, 35 ears of deafness, 37 ears of sudden deafness and 60 normal subjects. Clinical Epidemiology DME method, a case-control study of ARLT values. Results: The standard deviation of mean ARLT (ipsilateral) in normal group was 114.48 ± 24.48, with an average of 114.48. The average ARLT (ipsilateral) in the other four groups were all below 100.80, indicating that the cochlear deafness ARLT (Ipsilateral) in the normal group were significantly lower than those in the normal group (P <0.001); ARLT (ipsilateral) in the normal group was significantly higher than that in the normal group ROC curve analysis of the test, test level α = 0.05. ROC curve area of 0.809, greater than 0.5, P = 0.000, with statistical significance. CONCLUSIONS: The acoustic reflex latency (ARLT) can be used as an index to distinguish cochlear deafness and cochlear deafness, which lays the foundation for further establishing the diagnostic criteria of acoustic reflex latency and supplementing the identification of cochlear deafness and cochlear deafness.