目的采用真耳分析和不同信噪比下的言语识别率测试初步评价双耳信号对传式(BICROS)助听器的助听效果。方法选自2019年2月~2020年1月20例一侧全聋、一侧听力为中度听力损失(简称听损)患者在通过真耳分析验证达到验配公式目标值后,分别在...目的采用真耳分析和不同信噪比下的言语识别率测试初步评价双耳信号对传式(BICROS)助听器的助听效果。方法选自2019年2月~2020年1月20例一侧全聋、一侧听力为中度听力损失(简称听损)患者在通过真耳分析验证达到验配公式目标值后,分别在单耳佩戴助听器和双耳佩戴BICROS助听器干预前后的安静环境和噪声环境进行言语测试和声场助听听阈评估。结果患者单耳佩戴助听器与双耳佩戴BICROS助听器在0.5~4 kHz的声场助听听阈高度相关(P值均<0.001);声场下65 dB SPL言语识别率测试显示:安静环境、噪声环境(信噪比为5 dB)下双耳佩戴BICROS助听器与仅较好耳佩戴助听器相比差异均有统计学意义(P值均<0.001)。安静环境下裸耳和双耳佩戴BICROS的最大言语识别率显著相关(r=0.911,P<0.001)。结论安静环境、噪音环境下单耳极重度非对称性听损患者通过较好耳单侧佩戴助听器和使用BICROS助听器均能受益,双耳佩戴BICROS助听器在噪声环境下受益更明显。展开更多
This study aimed to investigate the speech perception and subjective preference of unilaterally deafened cochlear implant users for two different speech coding strategies. Thirteen subjects who received a cochlear imp...This study aimed to investigate the speech perception and subjective preference of unilaterally deafened cochlear implant users for two different speech coding strategies. Thirteen subjects who received a cochlear implant were provided with 2 maps that differed in the speech coding strategy, FS4 or FS4-p (MED-EL). Subjects were requested to alternate between the two maps daily for two weeks and to complete a questionnaire daily. Speech perception testing was performed using the adaptive Bamford-Kowal-Bench speech-in-noise test (BKB-SIN) after two weeks of alternating FS4/FS4-p use. The subjective benefit of FS4-p was significantly greater than the subjective benefit of FS4 on all five questions of the questionnaire. There was a significant improvement in speech perception scores over time under the S0/N0, S0/NHE, SCI/NHE test conditions. There was no significant difference between the speech perception scores obtained with FS4 and FS4-p coding strategies. For this group of cochlear implant recipients, assessment of the subjective preference for the speech coding strategy is likely to enhance motivation, compliance and consequently, outcomes.展开更多
目的评估先天性小耳畸形及单侧蜗神经发育不良致单侧耳聋患者采用骨导助听器干预的效果。方法收集9名2022年9月~2023年6月在我院接受骨导助听器验配患儿的14耳资料,其中6名患儿为先天性小耳畸形,3名为单侧蜗神经发育不良致感音神经性耳...目的评估先天性小耳畸形及单侧蜗神经发育不良致单侧耳聋患者采用骨导助听器干预的效果。方法收集9名2022年9月~2023年6月在我院接受骨导助听器验配患儿的14耳资料,其中6名患儿为先天性小耳畸形,3名为单侧蜗神经发育不良致感音神经性耳聋。验配助听器前后分别进行声场纯音测听、言语空间听觉质量量表-父母版(speech,spatial,and other qualities of hearing scale for parents,SSQ-P)问卷评估。使用STATSTM 2.0统计软件分析患儿验配前后的听阈和父母问卷得分差异。结果两组患儿在验配骨导助听器前后的听阈均呈显著差异,小耳畸形组(P<0.05),单侧耳聋组(P=0.005)。两组间验配后听阈无显著差异(P=0.47)。SSQ-P父母问卷得分在短期验配后均有改善。单侧耳聋组验配后的空间听觉能力问卷得分改善弱于小耳畸形组。结论先天性小耳畸形及单侧蜗神经发育不良致单侧耳聋患儿均能从骨导助听器验配中获益,其中单侧耳聋患儿的获益低于小耳畸形患儿。展开更多
文摘目的采用真耳分析和不同信噪比下的言语识别率测试初步评价双耳信号对传式(BICROS)助听器的助听效果。方法选自2019年2月~2020年1月20例一侧全聋、一侧听力为中度听力损失(简称听损)患者在通过真耳分析验证达到验配公式目标值后,分别在单耳佩戴助听器和双耳佩戴BICROS助听器干预前后的安静环境和噪声环境进行言语测试和声场助听听阈评估。结果患者单耳佩戴助听器与双耳佩戴BICROS助听器在0.5~4 kHz的声场助听听阈高度相关(P值均<0.001);声场下65 dB SPL言语识别率测试显示:安静环境、噪声环境(信噪比为5 dB)下双耳佩戴BICROS助听器与仅较好耳佩戴助听器相比差异均有统计学意义(P值均<0.001)。安静环境下裸耳和双耳佩戴BICROS的最大言语识别率显著相关(r=0.911,P<0.001)。结论安静环境、噪音环境下单耳极重度非对称性听损患者通过较好耳单侧佩戴助听器和使用BICROS助听器均能受益,双耳佩戴BICROS助听器在噪声环境下受益更明显。
文摘This study aimed to investigate the speech perception and subjective preference of unilaterally deafened cochlear implant users for two different speech coding strategies. Thirteen subjects who received a cochlear implant were provided with 2 maps that differed in the speech coding strategy, FS4 or FS4-p (MED-EL). Subjects were requested to alternate between the two maps daily for two weeks and to complete a questionnaire daily. Speech perception testing was performed using the adaptive Bamford-Kowal-Bench speech-in-noise test (BKB-SIN) after two weeks of alternating FS4/FS4-p use. The subjective benefit of FS4-p was significantly greater than the subjective benefit of FS4 on all five questions of the questionnaire. There was a significant improvement in speech perception scores over time under the S0/N0, S0/NHE, SCI/NHE test conditions. There was no significant difference between the speech perception scores obtained with FS4 and FS4-p coding strategies. For this group of cochlear implant recipients, assessment of the subjective preference for the speech coding strategy is likely to enhance motivation, compliance and consequently, outcomes.
文摘目的评估先天性小耳畸形及单侧蜗神经发育不良致单侧耳聋患者采用骨导助听器干预的效果。方法收集9名2022年9月~2023年6月在我院接受骨导助听器验配患儿的14耳资料,其中6名患儿为先天性小耳畸形,3名为单侧蜗神经发育不良致感音神经性耳聋。验配助听器前后分别进行声场纯音测听、言语空间听觉质量量表-父母版(speech,spatial,and other qualities of hearing scale for parents,SSQ-P)问卷评估。使用STATSTM 2.0统计软件分析患儿验配前后的听阈和父母问卷得分差异。结果两组患儿在验配骨导助听器前后的听阈均呈显著差异,小耳畸形组(P<0.05),单侧耳聋组(P=0.005)。两组间验配后听阈无显著差异(P=0.47)。SSQ-P父母问卷得分在短期验配后均有改善。单侧耳聋组验配后的空间听觉能力问卷得分改善弱于小耳畸形组。结论先天性小耳畸形及单侧蜗神经发育不良致单侧耳聋患儿均能从骨导助听器验配中获益,其中单侧耳聋患儿的获益低于小耳畸形患儿。
