摘要
目的 系统评价助听器对老年听障患者认知功能的影响,为老年性聋的临床干预提供参考。方法 在PubMed, Embase, Cochrane, Web of Science四个外文数据库中检索助听器对老年听障患者认知功能影响的临床研究,检索时间均为建库至2022年9月。按照Cochrane协作网评议员手册评价纳入文献的质量,采用纽卡斯尔-渥太华量表(NOS)评价研究偏移风险,利用Revman 5.4软件进行Meta分析,并进行亚组分析确定异质性来源。结果 共纳入17篇符合条件的外文文献,包括1 107例患者。Meta分析结果显示,助听器干预者的认知得分优于未干预者[SMD=0.28,95%CI(0.09,0.47),P<0.05];助听器干预后的认知得分优于干预开始时[SMD=0.58,95%CI(0.22,0.95),P<0.05];亚组分析结果显示已存在认知障碍的老年听障患者助听器干预前后认知得分无显著变化[SMD=0.11,95%CI(-0.30,0.51),P>0.05];漏斗图结果显示无发表偏移。结论 助听器干预有利于改善一般老年听障患者的认知功能,对已存在认知障碍的老年听障者无显著影响,但结论仍需进一步证实。
Objective To evaluate the effects of hearing aids on cognition in elderly patients with hearing impairment,and provide inspiration for clinical intervention measures.Methods Clinical studies about the influence of hearing aids on cognition of hearing-impaired patients were retrieved from PubMed,Embase,Cochrane and Web of Science database.The retrieval period was from the time of inception to September 2022.The quality of the included literature was evaluated according to the Cochrane Collaboration Reviewers Manual.The Newcastle-Ottawa scale(NOS)was used to assess the risk of bias.Statistical analysis was performed using Revman 5.4 software,and subgroup analysis was performed to identify the sources of heterogeneity.Results A total of 17 studies were included,including 1107 patients.Meta-analysis results showed that the aided group was superior to the unaided group in terms of cognition(SMD=0.28;95%CI=0.09~0.47,P<0.05).The follow up performance was superior to the baseline performance in the aided group(SMD=0.58;95%CI=0.22~0.95,P<0.05).Subgroup analysis showed no significant changes in cognitively impaired group before and after aided(SMD=0.11,95%CI=-0.30-0.51,P>0.05).Funnel plot results showed no publication bias.Conclusion Wearing hearing aids can improve the cognition of general elderly hearing-impaired patients,but has no significant effect on the elderly patients with cognitive impairment,the conclusion still needs to be further confirmed.
作者
童恩芬
肖永涛
Tong Enfen;Xiao Yongtao(Zhejiang Chinese Medical University,Hangzhou,310053,China)
出处
《听力学及言语疾病杂志》
CAS
CSCD
北大核心
2023年第5期454-460,共7页
Journal of Audiology and Speech Pathology
基金
听力与言语康复学国家级一流本科专业建设点项目(教高厅函【2019】46号)。
关键词
助听器
认知
老年
META分析
Hearing aids
Cognition
Elderly
Meta-analysis
