Method and device for determining false negative responses in automatic pure tone audiometry

Abstract

The application discloses a false negative reaction determination method in automatic pure tone hearing threshold test, and the method comprises the following steps: obtaining initial hearing threshold test values of a target tester at multiple frequencies in a normal test process, wherein the initial hearing threshold test values comprise frequencies and sound intensities; selecting a set frequency and adjusting the sound intensity based on the initial hearing threshold test value at the set frequency; performing secondary test on the target tester according to the adjusted sound intensity to obtain second hearing threshold test values; comparing the initial hearing threshold test values with the second hearing threshold test values to obtain test difference values of the sound intensities between the initial hearing threshold test values and the second hearing threshold test values; and adjusting the test process according to the test difference values until the test result of the target tester is determined as a false negative reaction or the test is ended. The application can identify whether the target tester has a false negative reaction through the automatic test process, and the test process is adjusted according to the reaction of the target tester, so that the accuracy and reliability of the test are improved.

Description

TECHNICAL FIELD

[0001] The present application relates to the technical field of hearing test, in particular to a method and device for determining false negative reaction in automatic pure tone audiometry. BACKGROUND

[0002] The most common method for searching the hearing threshold in the existing automatic test technology is the modified Hughson-Westlake method consistent with the clinical manual test, that is, the subject presses the response button after hearing the sound, the sound intensity is reduced by 10 dB, the sound intensity is increased by 5 dB when the sound is not heard, and the test is repeated until 3 reactions occur at the same test intensity in the process of 5 times of increasing sound intensity, and then the sound intensity is determined as the hearing threshold. In the actual operation process, when the subject does not react to the sound heard (referred to as false negative reaction), for example, the subject wants to have a relatively poor hearing, or the subject does not understand the test requirements and does not know how to cooperate with the test, at this time, the automatic test device will continuously increase the sound intensity according to the set program, that is, the mode of "not hearing the sound (that is, the subject does not react) and increasing the sound intensity by 5 dB", until the maximum sound output is reached; or the subject reacts at an intensity much higher than the real hearing threshold, and the device will determine this intensity as the hearing threshold. At this time, the hearing threshold obtained by the automatic test is very different from the real hearing threshold, resulting in unreliable test results. SUMMARY

[0003] Therefore, the embodiment of the present application provides a method for determining false negative reaction in automatic pure tone audiometry, to solve the problem of unreliable test results caused by false negative reaction in the current test process.

[0004] To achieve the above-mentioned purpose, the present application provides the following technical scheme:

[0005] The embodiment of the present application provides a method for determining false negative reaction in automatic pure tone audiometry, comprising:

[0006] Obtaining initial hearing threshold test values of a target tester at multiple frequencies in a normal test process, the initial hearing threshold test values including frequency and sound intensity;

[0007] Selecting a set frequency and adjusting the sound intensity based on the initial hearing threshold test value at the set frequency, and performing a second test on the target tester according to the adjusted sound intensity to obtain a second hearing threshold test value;

[0008] Comparing the initial hearing threshold test value and the second hearing threshold test value to obtain a test difference value of the sound intensity between the initial hearing threshold test value and the second hearing threshold test value;

[0009] adjusting the test procedure according to the test difference until determining a test result of the target tester as a false negative reaction or ending the test.

[0010] Optionally, the adjusting the test procedure according to the test difference comprises:

[0011] if the test difference is less than a minimum value of a preset threshold range, retesting a plurality of frequencies in the normal test procedure;

[0012] if the test difference is greater than a maximum value of the preset threshold range, adjusting the current test procedure based on the second hearing threshold test value.

[0013] Optionally, the adjusting the test procedure according to the test difference further comprises: if the test difference is within the preset threshold range, returning to the step of selecting the set frequency and adjusting the sound intensity based on the initial hearing threshold test value at the set frequency to continue the test of the remaining frequencies.

[0014] Optionally, the adjusting the current test procedure based on the second hearing threshold test value comprises:

[0015] third testing the target tester after adjusting the sound intensity of the second hearing threshold test value to obtain a third hearing threshold test value;

[0016] comparing the initial hearing threshold test value and the third hearing threshold test value to obtain a second test difference of the sound intensity between the initial hearing threshold test value and the third hearing threshold test value;

[0017] second adjusting the test procedure according to the second test difference.

[0018] Optionally, the second adjusting the test procedure according to the second test difference comprises:

[0019] if the second test difference is not greater than a first preset difference, retesting a plurality of frequencies in the normal test procedure;

[0020] if the second test difference is greater than the first preset difference, third adjusting the current test procedure according to a third test difference between the third hearing threshold test value and the second hearing threshold test value.

[0021] Optionally, the third adjusting the current test procedure according to the third test difference between the third hearing threshold test value and the second hearing threshold test value comprises:

[0022] if the third test difference is not less than a second preset difference, determining a reaction record of the target tester as a false negative reaction;

[0023] if the third test difference value is less than a second preset difference value, selecting another set frequency to perform the test to obtain a fourth hearing threshold test value;

[0024] comparing the fourth hearing threshold test value and the corresponding initial hearing threshold test value to obtain a fourth test difference value of sound intensity between the initial hearing threshold test value and the fourth hearing threshold test value;

[0025] performing fourth adjustment on the test procedure according to the fourth test difference value.

[0026] Optionally, the fourth adjustment on the test procedure according to the fourth test difference value comprises:

[0027] if the fourth test difference value is not less than a third preset difference value, recording the reaction of the target tester as a false negative reaction and ending the test;

[0028] if the fourth test difference value is less than the third preset difference value, returning to the step of selecting the set hearing threshold test value to test the target tester and continuing to complete the hearing threshold test of other frequencies.

[0029] The embodiment of the present application further provides a false negative reaction determination device in automatic pure tone hearing threshold test, comprising:

[0030] an acquisition module, used for acquiring initial hearing threshold test values of a target tester at multiple frequencies in a normal test process, wherein the initial hearing threshold test values comprise frequencies and sound intensities;

[0031] an adjustment test module, used for selecting a set frequency, adjusting sound intensity based on the initial hearing threshold test value at the set frequency, and performing secondary test on the target tester according to the adjusted sound intensity to obtain a second hearing threshold test value;

[0032] a comparison module, used for comparing the initial hearing threshold test value and the second hearing threshold test value to obtain a test difference value of sound intensity between the initial hearing threshold test value and the second hearing threshold test value;

[0033] an adjustment module, used for adjusting a test procedure according to the test difference value until the test result of the target tester is determined as a false negative reaction or the test is ended.

[0034] The embodiment of the present application further provides an electronic device, comprising:

[0035] a memory and a processor, which are communicatively connected, and the memory stores computer instructions, and the processor executes the computer instructions to perform the false negative reaction determination method in automatic pure tone hearing threshold test provided by the embodiment of the present application.

[0036] This invention also provides a computer-readable storage medium storing computer instructions for causing the computer to execute the method for determining false negative responses in the automatic pure-tone hearing threshold test provided in this invention.

[0037] The technical solution of this invention has the following advantages:

[0038] This invention provides a method for determining false negative responses in automated pure-tone audiometry. The method involves acquiring initial hearing threshold test values ​​for the target subject at multiple frequencies during normal testing. These initial values ​​include frequency and sound intensity. A set frequency is selected, and the sound intensity is adjusted based on the initial hearing threshold test values ​​at that frequency. A second test is performed on the target subject based on the adjusted sound intensity to obtain a second hearing threshold test value. The initial and second hearing threshold test values ​​are compared to obtain the sound intensity difference between them. The testing process is adjusted based on this difference until the test result for the target subject is determined to be a false negative or the testing ends. This invention identifies whether a target subject has a false negative response through automated testing and adjusts the testing process based on the target subject's response, thus increasing the accuracy and reliability of the test. Attached Figure Description

[0039] To more clearly illustrate the specific embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the specific embodiments or the prior art will be briefly introduced below. Obviously, the drawings described below are some embodiments of the present invention. For those skilled in the art, other drawings can be obtained from these drawings without creative effort.

[0040] Figure 1 This is a flowchart of the method for determining false negative reactions in the automatic pure tone hearing threshold test according to an embodiment of the present invention;

[0041] Figure 2 This is a schematic diagram of a specific example in an embodiment of the present invention;

[0042] Figure 3 This is a schematic diagram of a unilateral false negative test example in an embodiment of the present invention;

[0043] Figure 4 This is a schematic diagram of the false negative reaction determination device in the automatic pure tone hearing threshold test according to an embodiment of the present invention;

[0044] Figure 5 This is a schematic diagram of the structure of an electronic device in an embodiment of the present invention. Detailed Implementation

[0045] In order to make the purposes, technical solutions and advantages of the embodiments of the present application clearer, the technical solutions in the embodiments of the present application will be described clearly and completely below with reference to the drawings in the embodiments of the present application. Obviously, the described embodiments are some but not all of the embodiments of the present application. Based on the embodiments in the present application, all other embodiments obtained by those skilled in the art without creative work fall within the protection scope of the present application.

[0046] According to the embodiments of the present application, a false negative reaction determination method in automatic pure tone audiometry is provided. It should be noted that the steps shown in the flowchart of the drawings can be executed in a computer system such as a set of computer executable instructions, and although the logical order is shown in the flowchart, in some cases, the steps shown or described herein can be executed in a different order.

[0047] In the present embodiment, a false negative reaction determination method in automatic pure tone audiometry is provided, which can be used in the retest process after normal test, as shown in the figure, the false negative reaction determination method in automatic pure tone audiometry comprises the following steps: Figure 1

[0048] Step S1: obtaining initial threshold test values of a target tester at multiple frequencies in a normal test process, the initial threshold test values including frequency and sound intensity.

[0049] Step S2: selecting a set frequency and adjusting the sound intensity based on the initial threshold test value at the set frequency, and performing a second test on the target tester according to the adjusted sound intensity to obtain a second threshold test value. Specifically, after completing the normal test, the set frequency is selected for retest (for example: 1000 Hz; it can also be 2000 Hz, 4000 Hz, 8000 Hz and other frequencies), the target tester presses the transponder button after hearing the sound, the test sound intensity is reduced by 10 dB, the test sound intensity is increased by 5 dB, and the test is repeated until 3 reactions occur at the same test intensity in the process of 5 times of increasing sound intensity, then the sound intensity is determined as the threshold, and the initial threshold test value includes the current frequency and the current sound intensity. Specifically, the sound intensity of the first sound is increased (for example: the sound intensity is increased by D1 dB), and then the threshold is searched again by using the method of reducing 10 and increasing 5 to obtain the second threshold test value, and this process is to more accurately judge whether the target tester has false negative reaction in the subsequent step.

[0050] Step S3: comparing the initial threshold test value and the second threshold test value to obtain a test difference value of the sound intensity between the initial threshold test value and the second threshold test value. Specifically, by calculating the test difference value, it can be judged whether the reaction of the target tester is normal, and then the subsequent test process is adjusted.

[0051] ​Step S4: adjusting the test process according to the test difference until determining the test result of the target tester as a false negative reaction or ending the test. Specifically, the false negative reaction, also known as "pseudo-deafness", refers to that the target tester wants to be less hearing, affects the test result by controlling his own reaction (not reacting to the sound with low intensity), or the abnormal test result is caused by not understanding the test requirements; the application can adjust the test process according to the reaction of the target tester, effectively determine the false negative reaction of the target tester and terminate the test in time, avoid the large gap between the test result and the real hearing threshold, and provide reliable data support for clinical diagnosis; this way improves the accuracy and reliability of the test.

[0052] Through the above steps S1 to S4, the false negative reaction determination method in the automatic pure tone hearing threshold test provided by the application embodiment can identify whether the target tester has a false negative reaction through the automatic test process, and adjust the test process according to the reaction of the target tester, thereby increasing the accuracy and reliability of the test.

[0053] Specifically, in an embodiment, the step S4 described above specifically includes the following steps:

[0054] Step one: if the test difference is less than the minimum value of the preset threshold range, retest the multiple frequencies in the normal test process. Specifically, if the test difference is less than the minimum value of the preset threshold range (for example, -D2 dB), it indicates that there may be inaccurate test in the previous normal test process, and other frequencies need to be retested. Figure 2 In the embodiment, -D2 dB.

[0055] Step two: if the test difference is greater than the maximum value of the preset threshold range, adjust the current test process based on the second hearing threshold test value. Specifically, if the test difference is greater than the maximum value of the preset threshold range (for example, D2 dB in the embodiment), it indicates that the target tester may have the behavior of affecting the test result by controlling his own reaction (not reacting to the sound with low intensity), or the reaction is inaccurate due to unclear test requirements, and the test process needs to be adjusted for retesting. Figure 2 In the embodiment, D2 dB.

[0056] Specifically, the step S4 described above further includes:

[0057] Step three: if the test difference is within the preset threshold range, return to the step of selecting the set frequency and adjusting the sound intensity based on the initial hearing threshold test value at the set frequency to continue the test of the remaining frequencies. Specifically, if the test difference is within the preset threshold range (for example, -D2 dB to D2 dB), it indicates that the reaction of the target tester at the current frequency is normal, and the normal test of other frequencies can be continued until the test is completed.

[0058] Specifically, in an embodiment, the step two comprises the following steps:

[0059] Step four: adjusting the sound intensity of the second hearing threshold test value to conduct a third test on the target tester to obtain a third hearing threshold test value. Specifically, the sound intensity is increased (for example Figure 2 In an embodiment, the sound intensity is increased by D3 dB based on the initial hearing threshold test value), and then the threshold is searched again by the descending 10 ascending 5 method to obtain the third hearing threshold test value.

[0060] Step five: comparing the initial hearing threshold test value and the third hearing threshold test value to obtain a second test difference value of the sound intensity between the initial hearing threshold test value and the third hearing threshold test value. Specifically, by calculating the test difference value, it can be judged whether the reaction of the target tester is normal, and then the subsequent test process is adjusted.

[0061] Step six: secondly adjusting the test process according to the second test difference value. Specifically, the test process is adjusted according to the reaction of the target tester, the false negative reaction of the subject is effectively judged and the test is terminated in time, the test result is avoided to be greatly different from the real hearing threshold, and the accuracy and reliability of the test are improved.

[0062] Specifically, in an embodiment, before the step four is implemented, it further comprises prompting the target tester about the test requirements. Specifically, the false reaction of the target tester due to unclear test requirements is prevented, so that the test is not accurate.

[0063] Specifically, in an embodiment, the step six comprises the following steps:

[0064] Step seven: if the second test difference value is not greater than the first preset difference value, the multiple frequencies in the normal test process are retested. Specifically, after the sound intensity is increased, the hearing threshold test result of the target tester should not appear a larger difference value, if the second test difference value is not greater than the first preset difference value (for example Figure 2 In an embodiment, D2 dB), it indicates that the test result is expected to be more accurate, and it also indicates that there may be a situation that the test is not accurate due to not understanding the test requirements and the like in the previous normal test process, and other frequencies need to be retested.

[0065] Step eight: if the second test difference value is greater than the first preset difference value, the current test process is thirdly adjusted according to a third test difference value between the third hearing threshold test value and the second hearing threshold test value. Specifically, if the second test difference value is greater than the first preset difference value (for example Figure 2In the embodiment, the first preset difference value is, for example, D2 dB. If the first test difference value is greater than or equal to D2 dB, it indicates that the hearing threshold of the target tester changes with the adjustment of the sound intensity, and the target tester may affect the test result by controlling his own reaction (not reacting to the sound with lower sound intensity). Therefore, the test process needs to be adjusted for retesting.

[0066] Specifically, in an embodiment, the step eight includes the following steps.

[0067] Step nine: If the third test difference value is not less than the second preset difference value, the reaction record of the target tester is determined as a false negative reaction. Specifically, the second preset difference value is, for example, D2 dB. If the third test difference value is greater than or equal to D2 dB, it indicates that the hearing threshold of the target tester changes with the adjustment of the sound intensity, and the target tester affects the test result by controlling his own reaction (not reacting to the sound with lower sound intensity), so the reaction record of the target tester is determined as a false negative reaction. Figure 2

[0068] Step ten: If the third test difference value is less than the second preset difference value, another set frequency is selected for testing to obtain a fourth hearing threshold test value. Specifically, the second preset difference value is, for example, 0 dB. By adjusting the set frequency, the test is retested, and the reaction of the target tester at different frequencies is verified to determine whether the initial hearing threshold test value at the current frequency is inaccurate due to operation error, thereby improving the test accuracy. Figure 2

[0069] Step eleven: The fourth test difference value between the sound intensity of the initial hearing threshold test value and the fourth hearing threshold test value is obtained by comparing the fourth hearing threshold test value and the corresponding initial hearing threshold test value. Specifically, by calculating the test difference value, it can be determined whether the reaction of the target tester after changing the frequency is normal.

[0070] Step twelve: The test process is adjusted for the fourth time according to the fourth test difference value.

[0071] Specifically, in an embodiment, the step twelve includes the following steps.

[0072] Step thirteen: If the fourth test difference value is not less than the third preset difference value, the reaction record of the target tester is determined as a false negative reaction and the test is ended. Specifically, the third preset difference value is, for example, D2 dB. If the fourth test difference value is still abnormal (greater than or equal to D2 dB), it indicates that the reaction of the target tester is a false negative reaction.

[0073] Step fourteen: If the fourth test difference value is less than the third preset difference value, the step of selecting the set hearing threshold test value for testing the target tester is returned to, and the hearing threshold test of other frequencies is continued. Specifically, if the fourth test difference value is less than the preset difference value (0 dB), it indicates that the reaction of the target tester at the sound intensity is normal, and the first test difference value may be incorrect, so the test of other frequencies is continued.​​

[0074] Specifically, the numerical values listed in the above embodiments are only reference values, and the numerical values can be adjusted according to the specific test accuracy and test requirements, which are not specifically limited here.

[0075] Specifically, in an embodiment, a method for judging a unilateral pseudo-deafness reaction is also provided, which is used to judge whether a target tester has unilateral pseudo-deafness, such as Figure 3 , and specifically includes the following steps:

[0076] Selecting a set frequency to simultaneously emit different sound intensities to the better ear and the worse ear of the target tester for testing;

[0077] Comparing the sound intensity difference between the better ear and the worse ear with a preset value;

[0078] If the sound intensity difference is less than the preset value, stop the current set frequency test, record the stop count and return to the step of selecting a set frequency to simultaneously emit different sound intensities to the better ear and the worse ear of the target tester for testing; when the stop count exceeds a preset count, end the test;

[0079] If the sound intensity difference is not less than the preset value, emit sound for testing and obtain the reaction of the target tester, and judge whether there is a unilateral pseudo-deafness phenomenon according to the reaction of the target tester.

[0080] Specifically, through the above unilateral pseudo-deafness reaction judging method, whether the target tester is unilateral pseudo-deaf can be more accurately judged, which provides data support for subsequent diagnosis work.

[0081] Specifically, in an embodiment, the above judging whether there is a unilateral pseudo-deafness phenomenon according to the reaction of the target tester specifically includes the following steps:

[0082] If the target tester reacts to the sound, the target tester is not unilateral pseudo-deaf;

[0083] If the target tester does not react to the sound, record the abnormal reaction count, and return to the step of emitting sound for testing and obtaining the reaction of the target tester; when the abnormal reaction count exceeds a preset reaction count, record that the target tester has a unilateral pseudo-deafness reaction, and end the test.

[0084] Specifically, through the above test process, it can be prevented that the target tester wants to have unilateral ear hearing loss, and influences the test result by controlling his own reaction (not reacting to the sound with low sound intensity), thereby improving the accuracy of the test.

[0085] This embodiment also provides a false negative reaction determination device for an automated pure-tone hearing threshold test. This device is used to implement the above embodiments and preferred embodiments, and details already described will not be repeated. As used below, the term "module" can refer to a combination of software and / or hardware that performs a predetermined function. Although the device described in the following embodiments is preferably implemented in software, hardware implementation, or a combination of software and hardware, is also possible and contemplated.

[0086] This embodiment provides a device for determining false negative reactions in an automated pure-tone hearing threshold test, such as... Figure 2 As shown, it includes:

[0087] The acquisition module 101 is used to acquire the initial hearing threshold test values ​​of the target test subject at multiple frequencies during normal testing. The initial hearing threshold test values ​​include frequency and sound intensity. For details, please refer to the relevant description of step S1 in the above method embodiment, which will not be repeated here.

[0088] The adjustment test module 102 is used to select a set frequency and adjust the sound intensity based on the initial hearing threshold test value at the set frequency, and perform a second test on the target test subject according to the adjusted sound intensity to obtain a second hearing threshold test value. For details, please refer to the relevant description of step S2 in the above method embodiment, which will not be repeated here.

[0089] The comparison module 103 is used to compare the initial hearing threshold test value and the second hearing threshold test value to obtain the test difference of sound intensity between the initial hearing threshold test value and the second hearing threshold test value. For details, please refer to the relevant description of step S3 in the above method embodiment, which will not be repeated here.

[0090] The adjustment module 104 is used to adjust the testing process according to the test difference until the test result of the target test subject is determined to be a false negative reaction or the test ends. For details, please refer to the relevant description of step S4 in the above method embodiment, which will not be repeated here.

[0091] In this embodiment, the false negative reaction determination device in the automatic pure tone hearing threshold test is presented in the form of a functional unit. Here, a unit refers to an ASIC circuit, a processor and memory that execute one or more software or fixed programs, and / or other devices that can provide the above functions.

[0092] Further functional descriptions of the above modules are the same as those in the corresponding embodiments described above, and will not be repeated here.

[0093] According to embodiments of the present invention, an electronic device is also provided, such as... Figure 3 As shown, the electronic device may include a processor 901 and a memory 902, wherein the processor 901 and the memory 902 may be connected via a bus or other means.Figure 3 The bus connection is taken as an example.

[0094] The processor 901 can be a central processing unit (CPU). The processor 901 can also be other general-purpose processors, a digital signal processor (DSP), an application specific integrated circuit (ASIC), a field-programmable gate array (FPGA) or other programmable logic device, discrete gate or transistor logic device, discrete hardware component, or a combination of the above.

[0095] The memory 902 is a non-transitory computer readable storage medium, and can be used to store non-transitory software programs, non-transitory computer executable programs and modules, such as program instructions / modules corresponding to the method in the method embodiments of the present application. The processor 901 performs various function applications and data processing of the processor by running the non-transitory software programs, instructions and modules stored in the memory 902, that is, implements the method in the above method embodiments.

[0096] The memory 902 can include a program storage area and a data storage area. The program storage area can store an operating system and at least one application required by a function; the data storage area can store data created by the processor 901 and the like. In addition, the memory 902 can include a high-speed random access memory, and can also include a non-transitory memory, such as at least one magnetic disk storage device, a flash memory device, or other non-transitory solid-state memory device. In some embodiments, the memory 902 can optionally include a memory disposed remotely from the processor 901, and these remote memories can be connected to the processor 901 through a network. Examples of the above network include but are not limited to the Internet, an intranet, a local area network, a mobile communication network, and a combination thereof.

[0097] One or more modules are stored in the memory 902, and when executed by the processor 901, the method in the above method embodiments is performed.

[0098] The above electronic device specific details can be understood by referring to the corresponding related description and effects in the above method embodiments, which will not be described here.

[0099] Those skilled in the art can understand that all or part of the processes in the above-mentioned embodiment methods can be completed by instructing the relevant hardware through a computer program. The program can be stored in a computer readable storage medium. When the program is executed, the program can include the processes of the above-mentioned embodiment methods. The storage medium can be a magnetic disc, an optical disc, a read-only memory (ROM), a random access memory (RAM), a flash memory, a hard disk drive (HDD) or a solid-state drive (SSD), etc. The storage medium can also include a combination of the above-mentioned types of memories.

[0100] Although the embodiments of the present application are described in conjunction with the drawings, various modifications and changes can be made by those skilled in the art without departing from the spirit and scope of the present application, and such modifications and changes fall within the scope defined by the appended claims.

Claims

1. A method for determining false negative responses in an automatic pure tone audiometry test, characterized by, The method comprises the following steps: obtaining initial hearing threshold test values of a target tester at multiple frequencies in a normal test process, wherein the initial hearing threshold test values comprise frequency and sound intensity; selecting a set frequency and adjusting the sound intensity based on the initial hearing threshold test value at the set frequency, and performing a second test on the target tester according to the adjusted sound intensity to obtain a second hearing threshold test value; comparing the initial hearing threshold test value and the second hearing threshold test value to obtain a test difference value of the sound intensity between the initial hearing threshold test value and the second hearing threshold test value; adjusting the test process according to the test difference value until a test result of the target tester is determined as a false negative reaction or the test is ended; wherein the adjusting the test process according to the test difference value comprises: if the test difference value is less than a minimum value of a preset threshold range, retesting the multiple frequencies in the normal test process; if the test difference value is greater than a maximum value of the preset threshold range, adjusting the current test process based on the second hearing threshold test value; the adjusting the current test process based on the second hearing threshold test value comprises: prompting the target tester for test requirements; adjusting the sound intensity of the second hearing threshold test value and performing a third test on the target tester to obtain a third hearing threshold test value; comparing the initial hearing threshold test value and the third hearing threshold test value to obtain a second test difference value of the sound intensity between the initial hearing threshold test value and the third hearing threshold test value; secondly adjusting the test process according to the second test difference value.

2. The method according to claim 1, wherein Further comprising: if the test difference value is within the preset threshold range, returning to the step of selecting a set frequency and adjusting the sound intensity based on the initial hearing threshold test value at the set frequency to continue the test of the remaining frequencies.

3. The method of claim 1, wherein the false negative reaction in the automatic pure tone audiometric threshold test is determined by, the secondly adjusting the test process according to the second test difference value comprises: if the second test difference value is not greater than a first preset difference value, retesting the multiple frequencies in the normal test process; if the second test difference value is greater than the first preset difference value, thirdly adjusting the current test process according to a third test difference value between the third hearing threshold test value and the second hearing threshold test value.

4. The method of claim 3, wherein the false negative reaction in the automatic pure tone audiometric threshold test is determined by, the thirdly adjusting the current test process according to the third test difference value between the third hearing threshold test value and the second hearing threshold test value comprises: if the third test difference value is not less than a second preset difference value, determining that the reaction record of the target tester is a false negative reaction; if the third test difference value is less than the second preset difference value, selecting another set frequency for testing to obtain a fourth hearing threshold test value; comparing the fourth hearing threshold test value and the corresponding initial hearing threshold test value to obtain a fourth test difference value of the sound intensity between the initial hearing threshold test value and the fourth hearing threshold test value; fourthly adjusting the test process according to the fourth test difference value.

5. The method of claim 4, wherein the false negative reaction in the automatic pure tone audiometric threshold test is determined by, the fourthly adjusting the test process according to the fourth test difference value comprises: if the fourth test difference value is not less than a third preset difference value, recording the reaction of the target tester as a false negative reaction and ending the test; If the fourth test difference value is less than the third preset difference value, the step of returning the selected set of threshold test values to test the target tester is performed, and the threshold test of other frequencies is continued.

6. An apparatus for determining false negative responses in an automatic pure tone threshold test, characterized by The method comprises the steps of: an acquisition module, configured to acquire initial threshold test values of a target tester at multiple frequencies in a normal test process, the initial threshold test values comprising frequencies and sound intensities; an adjustment test module, configured to select a set of frequencies, adjust the sound intensities based on the initial threshold test values at the set of frequencies, and perform a second test on the target tester according to the adjusted sound intensities to obtain second threshold test values; a comparison module, configured to compare the initial threshold test values and the second threshold test values to obtain a test difference value of the sound intensities between the initial threshold test values and the second threshold test values; an adjustment module, configured to adjust a test process according to the test difference value until a test result of the target tester is determined to be a false negative reaction or the test is ended; wherein the adjustment module is specifically configured to: if the test difference value is less than a minimum value of a preset threshold range, retest the multiple frequencies in the normal test process; if the test difference value is greater than a maximum value of the preset threshold range, adjust the current test process based on the second threshold test values; the adjustment module is further configured to: prompt the target tester for test requirements; perform a third test on the target tester after adjusting the sound intensities of the second threshold test values to obtain third threshold test values; compare the initial threshold test values and the third threshold test values to obtain a second test difference value of the sound intensities between the initial threshold test values and the third threshold test values; adjust the test process according to the second test difference value.

7. An electronic device, comprising: The method comprises the steps of: a memory and a processor, which are communicatively connected, the memory stores computer instructions, and the processor executes the computer instructions to perform the false negative reaction determination method in the automatic pure tone threshold test according to any one of claims 1-5.

8. A computer-readable storage medium, characterized in that, The computer readable storage medium stores computer instructions for causing the computer to perform the false negative reaction determination method in the automatic pure tone threshold test according to any one of claims 1-5.

Images