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【目的】评价响度优势测试与纯音听阈检测相结合用于患者听功能检测的效果。【方法】对2011年1月至2014年12月于本院耳科就诊的386例听力下降患者,在标准环境条件下进行纯音听阈检测与响度优势测试,观察伪聋检测效果。对于伪聋测试阳性患者进一步行听性脑干诱发电位(ABR)阈值检查,验证伪聋测试结果。【结果】386例患者接受了纯音听阈检测提示听功能异常,同时进行响度优势测试,结果提示46例(11.92%)患者因较强的主观意愿、配合不佳、心理或精神疾患、各种因素涉及保险或赔偿等原因影响纯音检测结果,46例患者ABR验证伪聋测试结果准确率达到100%。【结论】响度优势测试能够在一定程度上区分影响听功能检测的因素,将其用于评价主观意愿较强或纯音听阈测试配合不佳人群听功能的可靠性具有一定价值。“,”[Objective] To explore the effects of detecting loudness strength and pure tone threshold in au‐ditory function .[Methods] For auditory function ,loudness strength test and pure tone threshold detection were performed under the required environmental conditions and then the effects observed .[Results] A total of 386 patients undertook tone threshold detection and had confirmed auditory dysfunction .At the same time , all of them received loudness strength test and the results of 46 patients (11 .92% ) were affected by various reasons .[Conclusion] In auditory function testing ,loudness strength test may be used for differentiating some influencing factors .