People with normal hearing may experience hearing difficulties in noise. The medial olivocochlear in the auditory efferent system plays a crucial role in speech-in-noise discrimination. This study assesses MOC functioning by measured contralateral suppression (CS) of DPOAE, and Mandarin Hearing In Noise Test in Taiwan (MHINT-T) to investigate the relationship between the performance of speech recognition in noise and MOC limiting the micromechanics of the outer hair cells.
The study was performed on 45 young adults with normal hearing between the ages of 20 and 29 years (mean 22.1 years). The DPOAE suppression value for each subject was calculated by subtracting the recorded amplitude with and without CS which was analyzed via Pearson correlation and regression analysis with the signal-to-noise ratio (SNR) of MHINT-T.
The results showed that only CS of DPOAE with F2= 6000 Hz in the right ear had a significant low positive correlation with the MHINT-T SNR. The remaining statistical data CS of DPOAE for right, left or both ears at individual frequencies or overall frequencies are not statistically significantly related to, and have no predictive effect to the MHINT-T SNR.

目錄
中文摘要 i
英文摘要 ii
目錄 iii
圖目錄 v
表目錄 vi
第一章 緒論 1
第一節 研究動機 1
第二節 研究目的 4
第三節 名詞解釋 6
第二章 文獻回顧 10
第一節 耳聲傳射 10
第二節 耳聲傳射的對側抑制 12
第三節 華語噪音下語音聽辨測驗 16
第三章 研究方法 21
第一節 研究受試者 21
第二節 研究流程與工具 22
第三節 資料分析 26
第四章 研究結果與討論 27
第一節 受試者基本資料與各項測試結果 27
第二節 耳聲傳射的對側抑制與台灣版華語噪音下語音聽辨測驗的相關性 37
第三節 其他因素探討 46
第五章 結論與建議 48
第一節 結論 48
第二節 研究限制與建議 49
參考文獻 51
附錄 64

圖目錄
圖3-1 研究流程 25
圖3-2 MHINT-T測試示意圖 25

表目錄
表4-1 各頻率的純音聽力閾值之平均值與標準差 28
表4-2 各頻率DPOAE振幅 29
表4-3 各頻率DPOAE對側抑制值 30
表4-4 各頻率DPOAE有效記錄之抑制或增強數量 31
表4-5 各頻率DPOAE振幅變化絕對值 34
表4-6 各頻率DPOAE對側抑制值與MHINT-T之皮爾森積差相關摘要表 38
表4-7 各頻率DPOAE振幅變化絕對值與MHINT-T之皮爾森積差相關摘要表 39
表4-8 各頻率DPOAE正對側抑制值與MHINT-T之皮爾森積差相關摘要表 40
表4-9 各頻率DPOAE對側抑制值預測MHINT-T之多元回歸分析摘要表 42
表4-10 雙耳各頻率DPOAE對側抑制值與自覺噪音下感覺到聆聽困難或吃力之皮爾森積差相關摘要表 47


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