骨传导助听器选配效果分析  

Effect Analysis of Bone Conduction Hearing Devices Selection

作　　者：费樱平 郑芸[1] 张林[1] 丁伶萍[1] 尹艳[1] FEI Ying-ping;ZHENG Yun;ZHANG Lin;DING Ling-ping;YIN Yan

机构地区：[1]四川大学华西医院耳鼻咽喉头颈外科听力中心,成都610041

出　　处：《中国听力语言康复科学杂志》2022年第5期361-363,367,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：四川大学华西医院成果转化项目(HX20210104)。

摘　　要：目的 探求骨传导助听器(bone conduction hearing devices,BCHD)适应症患者选配率、满意度及没有选配BCHD的原因。方法 电话随访2015年5月~2020年12月在我院进行BCHD咨询的患者。结果 162例患者中,男性61.37%(100/162),女性38.27%(62/162)。62.96%(102/162)是先天性耳道闭锁患者,其中双耳闭锁34.57%(56/162),单耳闭锁28.40%(46/162);其次为单侧极重度听力损失患者(single-sided deafness,SSD)(30.25%,49/162)。随诊人群总听觉干预率为45.06%(73/162),其中31.48%(51/162)患者选择BCHD,78.43%(40/51)对BCHD效果表示满意。双耳闭锁患者选配BCHD的比例最高(87.5%,49/56)。患者拒绝BCHD的主要原因是患者不戴助听器也可以听与说。结论 双耳闭锁患者是接受BCHD的最主要患者。拒绝BCHD最常见的原因是患者认为自己的听力状况对听说没有明显影响。Objective To report the candidates of the bone conduction hearing devices(BCHD) uptake rate,satisfactions and the reasons for their rejection. Methods A study with retrospective and prospective data collection was performed. The consecutive new patients referred to the BCHD counsel center in a tertiary health care center of China between May 2015 and December 2020 was collated. Results 162 new patients were counseling BCHD. There were 61.73%(100/162)male and 38.27%(62/162) female patients. Congenital ear atresia(62.96%, 102/162, including bilateral ear atresia 56/162,34.57%) was the most common reason for consultation, followed by SSD(30.25%, 49/162). The total intervention rate in the study population was 45.06%(73/162). Among them, 51(51/162, 31.48%) patients chose BCHD. The highest rate of the intervention with BCHD was found in patients with bilateral ear atresia(87.5%, 49/56). The main reason for refusal was patients or the parents of child that believed they could hear and speak. Conclusion Patients with bilateral ear atresia were the most likely candidates to accepting BCHD. The commonest reason for refusing BCHD was their hearing condition had no obvious effect on listening, speaking, and daily life.

关 键 词：听力损失 患者满意度 助听器 骨传导 

分 类 号：R764.5[医药卫生—耳鼻咽喉科]