{
  "abstract": "目的构建并验证适用于社区人群的听觉认知功能智能简化评估方法。方法选取35名健康大学生建立时间压缩言语测试、听觉数字广度及听觉Stroop测试常模，以95%置信区间下限作为功能减退判别标准，另选取第10百分位数界值进行敏感性分析。随后对466名社区居民采集完整测试数据，按2：1划分训练集与验证集，基于贝叶斯自适应测试、计算机自适应测试及支持向量机等算法对测试流程进行简化，在验证集中评估其一致性与诊断效能。对88名受试者进行3个月随访以验证稳定性。结果简化版测试较完整版耗时减少50%～75%，且与完整版结果高度相关（r=0.88～0.94）。受试者工作特征曲线（receiver operating characteristic curve，ROC）分析显示分析显示曲线下面积（area under the curve，AUC）为0.85～0.89，敏感度≥90%。验证集结果表明模型泛化能力良好（ΔAUC<0.05）。随访分析显示，重复测量一致性较高组内相关系数（intraclass correlation coefficient，ICC=0.87）。结论本研究构建并验证的基于智能算法的简化听觉认知评估工具，在严格保证测评信度与诊断效度的前提下，能够显著缩短评估时间，提升基层筛查效率。该工具克服了传统评估工具的冗长弊端，具有良好的模型泛化能力、重测稳定性和临床转化价值。将其集成于移动设备或智能手机平台中，适合在社区中老年人群中开展大规模听觉与认知障碍早期筛查。",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "name": "朱蓓"
    },
    {
      "name": "王雪丽"
    },
    {
      "name": "鲁秀玲"
    },
    {
      "name": "陈洁"
    },
    {
      "name": "保志军"
    },
    {
      "name": "张敏"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/d2pk9t84bqx8j.bib",
  "cited_by": 0,
  "doi": null,
  "fulltext_url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.04.010/",
  "id": "d2pk9t84bqx8j",
  "issns": [
    "1672-4933"
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  "landing_url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.04.010/",
  "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": "2026-07-01",
  "publisher": "Limited Liability Company of Chinese Scientific Journal of Hearing and Speech Rehabilitation",
  "ris": "https://research.draconitic.com/paper/d2pk9t84bqx8j.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:45:20Z",
      "native_id": "855f0610fe9c4c5f9f39c17cab162ace",
      "source": "doaj",
      "url": "http://www.chsr.cn/zh/article/doi/10.3969/j.issn.1672-4933.2026.04.010/"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:R",
      "subfield": "general"
    }
  ],
  "title": "社区老年听觉认知减退的智能简化评估方法",
  "title_text": "社区老年听觉认知减退的智能简化评估方法",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:45:20Z",
  "url": "https://research.draconitic.com/paper/d2pk9t84bqx8j",
  "venue": "Zhongguo tingli yuyan kangfu kexue zazhi",
  "versions": []
}