language check
The language check method can quickly distinguish whether the hearing is normal or not, and can also get a general understanding of the nature of hearing and hearing impairment. Including whispering tests and discourse tests, suitable for collective inspection. The examiner whispers in a simple sentence vocabulary at a distance of 6m from the subject, so that the subject can be re-examined. If it cannot be re-examined, it can be repeated one or two times, but the voice cannot be improved. Basic Information Specialist classification: growth and development check classification: physical examination Applicable gender: whether men and women apply fasting: not fasting Tips: Before the check: Taboo: Clean the sputum in the ear canal. Normal value Can quickly hear the words of the examiner. Clinical significance Abnormal results The erroneous hearing test and the discourse test have a large difference in the listening distance, which is the inner ear lesion. This gap is particularly evident in senile deafness. Middle ear lesions, the difference between the two is small. Need to check patients with hearing impairment. Precautions Contraindications before inspection: The sputum in the ear canal should be cleaned up. Taboo when checking: 1. The length of the inspection room should be more than 6m, and the environment is quiet. 2. The outer ear door of the subject is at the same level as the mouth of the examiner. 3. The examinee is facing the examiner, and the opposite side of the external auditory canal is tightly closed with the index finger, and the eyes are closed so that the examinee does not see the lip movement when the examiner pronounces. 4. When whispering or discourse checking, the choice of vocabulary should be based on different objects, preferably using common words or numbers in daily life. 5. When you whisper, you should pay attention to the use of residual gas in the lungs after exhalation; the vocal cords do not vibrate, and the organs are vocalized. Inspection process There are two main methods to check: 1. Whisper test: The examiner whispers in a simple sentence vocabulary at a distance of 6m from the subject, so that the subject can be re-examined. If it cannot be re-examined, it can be repeated one or two times, but the voice cannot be improved. If you still can't hear it, the examiner can gradually go to the subject until you can hear it and correct it. Record the distance as a molecule, such as 3 meters, with the normal listening distance (usually 6m) as the denominator, such as 4/ 6, 3/6, etc., indicating the degree of hearing loss. The auditory sensitivity of the subject's ear can be expressed as the square of the score. For example, if the whisper test result is 3/6, the hearing sensitivity is (3/6) 2 = 1/4 and the hearing loss is 3/4. The same method will be measured again. 2. Discourse test: If the subject does not hear the whisper, or can only hear the whisper at a very close distance, then use the utterance to check. At this time, the listening distance should be increased to 12m, and also increased to 20m. The test and calculation methods are the same as the whisper test. Not suitable for the crowd Not suitable for checking the crowd: none.
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