{
  "abstract": "目的基于婴幼儿有意义听觉整合量表（infant-toddler meaningful auditory integration scale， IT-MAIS）联合客观听力学指标及围产期危险因素，建立并验证婴幼儿听力损失程度的多模态预测模型。方法根据筛选标准纳入553例0～6月龄完成听力学诊断测试及IT-MAIS的婴幼儿。根据短纯音听性脑干反应（ABR）结果，根据听力损失程度划分为正常-轻度、中度和重度三组。分析影响听力损失不同程度的危险因素，采用单因素加多因素logistic回归筛选自变量组建预测模型并绘制列线图。采用受试者工作特征曲线评估模型的区分度；校准图验证模型校准度；决策曲线分析法探讨模型的临床效能。结果筛选出7个预测因子构建模型形成列线图，包括高龄产妇（P=0.004）、儿童永久性听力障碍家族史（P=0.001）、存在或怀疑有与听力损失有关的综合征或遗传病（P<0.001）、畸变产物耳声发射（P<0.001）和IT-MAIS总分（P<0.001）。经验证，模型区分中度及以上和重度-极重度听力损失的曲线下面积分别为0.904（95%CI：0.876～0.932）和0.954（95%CI：0.930～0.978）；预测概率和实际概率之间存在较好的一致性，平均绝对值误差分别为0.014和0.011；该模型在一定范围内对于识别不同程度听力损失风险人群具有应用价值。结论本研究建立的婴幼儿听力损失程度预测模型具有良好的区分度、预测能力和临床适用性，为早期识别听力损失患儿，促进早发现早干预提供了科学依据。",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "name": "尹慧琳"
    },
    {
      "name": "顾海玲"
    },
    {
      "name": "李刚"
    },
    {
      "name": "孟照莉"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/924knqv91jmxf.bib",
  "cited_by": 0,
  "doi": null,
  "fulltext_url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.05.007/",
  "id": "924knqv91jmxf",
  "issns": [
    "1672-4933"
  ],
  "landing_url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.05.007/",
  "language": "zh",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "R"
    ]
  ],
  "openalex": null,
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-01",
  "publisher": "Limited Liability Company of Chinese Scientific Journal of Hearing and Speech Rehabilitation",
  "ris": "https://research.draconitic.com/paper/924knqv91jmxf.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:45:23Z",
      "native_id": "f4f0c93662de4a97af9ae9549547764c",
      "source": "doaj",
      "url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.05.007/"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:R",
      "subfield": "general"
    }
  ],
  "title": "基于婴幼儿有意义听觉整合量表建立并验证婴幼儿听损程度预测模型",
  "title_text": "基于婴幼儿有意义听觉整合量表建立并验证婴幼儿听损程度预测模型",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:45:23Z",
  "url": "https://research.draconitic.com/paper/924knqv91jmxf",
  "venue": "Zhongguo tingli yuyan kangfu kexue zazhi",
  "versions": []
}