摘要
目的评价中老年听障患者助听器初体验使用效果,探讨国产助听器的应用情况。方法招募86例中度至中重度感音神经性听力减退的50~80岁中老年人,参与助听器验配效果随机对照研究;交替配戴国产助听器与进口助听器。入组时采用纯音听阈测试、安静条件下的语句识别率等指标,比较两款助听器验配前后言语测试结果,使用助听器效果问卷评价两款助听器的助听效果。结果在验配国产助听器与进口助听器后,两款助听器均提升言语(语句)识别率,但两者呈显著差异(P=0.000)。对比两款助听器之间助听前后言语(语句)识别率差值,进口与国产助听器在助听语句识别效果有显著差异(P=0.000)。自评量表助听器效果问卷,两款助听器外观、音质有显著差异(P=0.000、P=0.008),而易操作性、清晰度、情绪及社交能力方面均无差异。结论国产助听器与进口助听器均可对中老年听障患者提供有效听力补偿,提高其言语识别能力。安静条件下进口助听器言语(语句)识别效果好于国产助听器。患者对助听器效果总体持肯定态度,但比较介意助听器外观对于个人外观形象的影响及音质的变化。
Objective Evaluating the initial experience of hearing aid use in middle-aged and elderly patients with hearing impairment,and discussion on the application status of domestic hearing aids.Methods 86 middle-aged and elderly individuals aged 50 to 80 years with moderate to moderately-severe sensorineural hearing loss were recruited for a randomized controlled study evaluating the effectiveness of hearing aid fittings;they alternately wore domestic all made and imported hearing aids.Pure tone audiometry and sentence recognition rates under quiet conditions were used at the baseline to compare speech test evaluations before and after fitting with both types of hearing aids.A hearing aid effect questionnaire was employed to assess the performance of the two hearing aids.Results 86 participants completed the trial.After fitting and imported hearing aids,both hearing aids improved speech(sentence)recognition rate,but they showed a significant difference(P=0.000).Comparing the difference in speech(sentence)recognition rates before and after using the two types of hearing aids,there was a significant difference between the imported and hearing aids in terms of aided sentence recognition effect(P=0.000).For self-assessment questionnaire for hearing aid effectiveness,two hearing aids have differences in appearance and sound quality(P=0.000,P=0.008),while there are no differences in ease of operation,clarity,emotion,and social skills.Conclusion The both and imported hearing aids can provide effective auditory compensation for middle-aged and elderly patients with hearing impairments,improving their speech recognition capabilities.Under quiet conditions,imported hearing aids show better post-fitting speech(sentence)recognition than domestic ones.Patients generally have a positive attitude towards the effectiveness of hearing aids,but still have concerns about the impact of the appearance of the hearing aids on personal image and changes in sound quality.
作者
杨洋
李炬
王晓力
宋戎
李志岳
腾白玉
YANG Yang;LI Ju;WANG Xiao-li;SONG Rong;LI Zhi-yue;TENG Bai-yu
出处
《中国听力语言康复科学杂志》
2024年第5期475-478,共4页
Chinese Scientific Journal of Hearing and Speech Rehabilitation
基金
科技部“主动健康和老龄化科技应对”国家重点研发计划项目“高性能及免验配助听器临床评估与推广应用示范”课题(2020YFC2004005)。
关键词
助听器验配
言语识别
助听器效果问卷
助听效果
Hearing aid fitting
Speech recognition
Hearing aid effectiveness questionnaire
Hearing aid effectiveness
