老年性聋患者佩戴助听器效果的评估  

The evaluation of hearing aid effect in presbycusis

作　　者：鲁宏华[1] 陈鱼[1] 王巍[1] 王悦[1] 陈太生[1] 徐开旭[1] 赵晖[1] 程岩[1] 马元煦[1] 林鹏[1] 

机构地区：[1]天津市第一中心医院耳鼻咽喉头颈外科天津市耳鼻咽喉科研究所,天津300192

出　　处：《临床耳鼻咽喉头颈外科杂志》2016年第10期788-790,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：评估老年性聋患者佩戴助听器效果。方法：分别通过助听器效果国际性调查问卷（IOI-HA）和中等声强度（65dBSPL）的言语识别率测试的方法,评估中、重度老年性聋患者佩戴助听器的效果及满意度。结果：助听前后,中度老年性聋患者的单音节词、安静及噪声下语句（SNR=5）的识别率改善值分别为31.15%、23.21%、44.11%,重度老年性聋患者的单音节词、安静及噪声下语句（SNR=5）的识别率改善值分别为37.51%、48.47%、50.17%,中、重度老年性聋患者助听前后言语识别率平均改善值差异有统计学意义（P〈0.05）;中、重老年性聋患者IOI-HA整体得分均在15～34,对助听器使用效果满意度较高,且中度与重度老年性聋患者IOIHA得分差值差异无统计学意义（P〉0.05）;中度、重度老年性聋患者对安静下语句聆听效果满意度高,对单音节词的聆听效果低,对噪声下语句聆听效果,中度比重度老年性聋患者满意度高。结论：言语测听是评估助听器效果的常用手段;IOI-HA耗时短、可操作性强,可作为评估助听器效果及满意度的主观手段,并且不受耳聋程度影响;多种评估方法相结合对佩戴助听器的预期效果及后期助听器调试有指导意义。Objective：To evaluate the effect of hearing aid in presbycusis.Method：Using the method of international outcome inventory for hearing aids（IOI-HA）and medium acoustic intensity（65dBSPL）word recognition score（WRS）,to evaluate the effect of hearing aid in moderate and severe presbycusis.Result：After the hearing aid of moderate presbycusis,The improved value of monosyllabic words and recognition rate in quite and noise statement（SNR=5）were 31.15%,23.21%,44.11%.However,improved values in severe presbycusis were37.51%,48.47%.50.17%,before and after hearing aid,the difference of the improved average value was statistically significant（P〈0.05）;Both the moderate and severe presbycusis were satisfacted with hearing aid.The IOIHA scores of moderate and severe presbycusis ranged from 15 to 34.The difference of IOI-HA score of moderate and severe presbycusis had no statistical significance（P〉0.05）;moderate and severe presbycusis with high satisfaction with HA of quiet statement,and low satisfaction of monosyllabic words listening,and the degree of satisfaction was higher in patients with moderate to severe hearing loss in noise statement.Conclusion：Speech audiometry is an important method to assess the effect of hearing aid;IOI-HA is a time-consuming short,subjective method.The combine of multiple evaluations have guiding significance to debugging of hearing aid expected effect and hearing aid device.

关 键 词：老年性聋 助听器 言语测试 言语识别率 IOI-HA 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]