助听器干预对西藏高原地区听障患者的疗效分析  

Analysis of therapeutic effect of hearing aids intervention on hearing impaired patients in Tibet Plateau area

作　　者：李彬彬 蔡舜玉 次仁央吉 徐驰宇 李涛[2,4] 龚嘎蓝孜 扎多[5] 巴罗[2] LI Binbin;CAI Shunyu;CIREN Yangji;XU Chiyu;LI Tao;GONGGA Lanzi;ZHA Duo;BA Luo(Medical College of Tibet University,Lhasa 850000,China;Department of Otolaryngology,People’s Hospital of Tibet Autonomous Region,Lhasa 850099,China;School of Medical Technology and Information Engineering,Zhejiang University of Traditional Chinese Medicine,Hangzhou 310053,China;Department of Otolaryngology Head and Neck Surgery,Peking University Third Hospital,Beijing 100191,China;Hearing and Language Rehabilitation Center of the Disabled Person’s Federation of Tibet Autonomous Region,Lhasa 850000,China)

机构地区：[1]西藏大学医学院,西藏拉萨850000 [2]西藏自治区人民医院耳鼻咽喉科,西藏拉萨850099 [3]浙江中医药大学医学技术与信息工程学院,杭州浙江310053 [4]北京大学第三医院耳鼻咽喉头颈外科学,北京100191 [5]西藏自治区残疾人联合会听力语言康复中心,西藏拉萨850000

出　　处：《中国耳鼻咽喉颅底外科杂志》2023年第4期20-25,共6页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：国家自然基金项目(81860567);西藏自治区自然科学基金项目[XZ2020ZR-ZY08(Z)]。

摘　　要：目的探讨助听器干预对久居(超过40年)西藏高原地区听障患者的疗效情况。方法选取49例(63耳)助听器佩戴者进行分析,包括听力情况、听阈、助听器后言语及助听器效果国际问卷主观感受相关分析等,并对助听器补偿效果进行了综合评价。结果63耳中,中度听力损失34耳,重度听力损失25耳,极重度听力损失4耳。其中单耳35例,问卷平均得分(20.34±4.39)分;双耳14例,问卷平均得分(27.07±4.16)分;双耳得分高于单耳分数。助听言语分辨率与问卷主观评估呈正相关(r=0.528,P<0.01)。助听阈值显示大多数患耳未得到最佳的听力补偿,但助听器干预前后听力比较具有统计学意义(P<0.05),高频听力补偿更为明显。助听后言语测听显示,助听后言语最大分辨率较助听前高(P<0.05)。结论高原地区听障者对助听器的使用客观听力参数与主观评价相对一致,助听效果较为显著而且双耳验配较单耳验配更具优势,总体助听效果持肯定态度。Objective To explore the effect of hearing aid intervention on hearing impaired patients who have been living in Tibet plateau for more than 40 years.Methods Forty-nine hearing aid wearers(63 ears)were selected for analysis of hearing condition,hearing threshold,speech after the hearing aid and subjective perception of the International Questionnaire on Hearing Aid Effects,and the compensation effect of hearing aids evaluated comprehensively.Results Among 63 ears,there were 34 ears moderate hearing loss,25 ears severe hearing loss and 4 ears extremely severe hearing loss.Thirty-five cases of them were monaural,and the average score of the questionnaire was 20.34±4.39 points;14 cases of them were binaural,the average score of the questionnaire 27.07±4.16 points;The score of binaural is higher than that of monaural.There was a positive correlation between the speech resolution of hearing aid and the subjective evaluation of the questionnaire(r=0.528,P<0.01).The hearing aid threshold showed that most ears did not get the best hearing compensation.However,the comparison of hearing before and after hearing aid intervention was statistically significant(P<0.05),and high-frequency compensation was more obvious.The speech audiometry after hearing aid showed that the maximum speech resolution after hearing aid was higher than that before hearing aid(P<0.05).Conclusions The objective hearing parameters of hearing aids used by hearing impaired people in plateau areas are relatively consistent with the subjective evaluation.The hearing aid effect is more significant and the binaural test is more advantageous than the monaural test.The overall hearing aid effect is positive.

关 键 词：听力下降 高原 助听器 助听效果 满意度 

分 类 号：R764.5[医药卫生—耳鼻咽喉科]