自主验配与常规验配助听器的短期效果对比研究  

Self-adjusted and Routine-fitting Hearing Aids:a Short-term Benefit Comparative Study

作　　者：郗昕 崔梦茜 周颖 田丽阳 苏俊[2] Xi Xin;Cui Mengxi;Zhou Ying;Tian Liyang;Su Jun(Department of Otolaryngology Head and Neck Surgery,the First Medical Center of Chinese PLA Hospital,National Clinical Research Center for Otolaryngologic Diseases,Key Lab of Hearing Impairment Science of Ministry of Education,Key Lab of Hearing Impairment Prevention and Treatment of Beijing,Beijing,100853,China;不详)

机构地区：[1]中国人民解放军总医院第一医学中心耳鼻咽喉头颈外科,国家耳鼻咽喉疾病临床医学研究中心,聋病教育部重点实验室,聋病防治北京市重点实验室,北京100853 [2]浙江中医药大学医学技术与信息工程学院 [3]首都医科大学第四临床医学院

出　　处：《听力学及言语疾病杂志》2023年第3期226-231,共6页Journal of Audiology and Speech Pathology

基　　金：国家重点研发计划(2020YFC2004005);中国残联残疾人辅助器具专项研究课题(2022CDPFA-28)。

摘　　要：目的比较成年听力减退患者常规验配与自主验配助听器后的短期效果差别,探讨非处方自主验配助听器在我国中老年弱听人群中的应用前景。方法招募20例中度至中重度感音神经性听力减退的55~75岁中老年人,随机分为甲乙两组,每组10例,参与两款助听器验配效果的前瞻性二阶段随机对照研究;一款为由听力师优化调配的常规助听器,另一款为由使用者操控的自主验配助听器。在实验不同阶段交替佩戴常规助听器与自主验配助听器各4周。入组时及第一、二阶段结束时均采用纯音听阈、安静条件下的语句识别率等指标及助听器收益缩略简表(abbreviated profile of hearing aid benefit,APHAB)、筛查版老年听力障碍量表(hearing handicap inventory for the elderly-screening version,HHIE-S)等主观指标,比较在未助听、常规验配、自主验配助听三种状态下的结果,评价两类助听器的配戴效果。结果最终14例患者完成试验。在常规验配与自主验配两类助听器后,受试者的纯音听阈(37.9±12.8、42.6±6.3 dB HL)相较未助听时(49.4±6.8 dB HL)均明显下降(P<0.05),但两类助听方式之间无显著差异(P>0.05);佩戴两类助听器后的语句识别率(65.0%±19.1%、76.1%±13.7%)较未助听(50.4%±13.4%)均显著提升(P<0.01),且两类助听方式间存在显著差异(P<0.01);APHAH量表中交流便利(EC)、混响环境(RV)、嘈杂背景(BN)、烦扰声厌恶(AV)四个亚项及总体收益(GBL),常规验配和自主验配后的得分均明显高于未助听时(P<0.05);HHIE-S量表也到了相同的结果,受试者在配戴两类助听器后听力障碍指数(9.6±8.3、11.4±8.6)明显低于未助听时(17.7±7.7)(P<0.01)。结论常规助听器与自主验配助听器均可对中老年人提供有效听力补偿和言语识别助益,两类助听器之间无显著差别。但该结论尚需更广地域、更大样本数据的论证。Objective To compare the one-month effect between routine-fitting hearing aids and self-adjusted hearing aids,and to assess the applicability of self-adjusted hearing aids in elderly people in China.Methods A total of 20 patients aged 55~75 with moderate to moderately severe sensorineural hearing loss were recruited and randomly divided into two groups,10 in each group.Subjects participated in a RCT(randomized controlled trail),prospective,two-stage study.Two kinds of hearing aids were used in this study,one was the routine-fitting hearing aid normally fitted by audiologists,the other was the self-adjusted hearing aid adjusted by customers.All subjects used two kinds of hearing aids alternatively for 4 weeks in two stages of the study.The benefits were evaluated at the time of enrollment and the end of the first and second stages using indicators,such as pure tone average(PTA)of air-conducted threshold,sentence recognition score in quiet,and subjective indicators,such as the hearing handicap inventory for the elderly-screening version(HHIE-S)and abbreviated profile of hearing aid benefit(APHAB).Results Fourteen patients completed the study.The aided PTA(37.9±12.8,42.6±6.3)was significantly lower than the unaided PTA(49.4±6.8 dB HL)(P<0.05),however,the aided PTA was not significantly different between self-adjusted and routin-fitting conditions(P>0.05).The sentence recognition scores in all aided conditions(65.0%±19.1%,76.1%±13.7%)were significantly higher than unaided condition(50.4%±13.4%)(P<0.01),and the score of using self-adjusted hearing aids were significantly higher than that of the routine-fitting hearing aids(P<0.01).The APHAB scores improved significantly(P<0.05)for all subjects in the Global and EC(easy of communication),RV(reverberate conditions),BN(background noise)subscales,AV(aversive sounds).According to HHIE-S scores,the handicap degree with hearing aids(9.6±8.3,11.4±8.6)was improved significantly compared with unaided condition(17.7±7.7)(P<0.01).Conclusion Both of the routine-fitting an

关 键 词：助听器 老年人 非处方 验配 

分 类 号：R764.5[医药卫生—耳鼻咽喉科]