助听器效果评估方法的研究进展  

Research Progress on Evaluation Methods for Hearing Aids Effectiveness

作　　者：唐菲 杨崇灵 曹伟 刘昭颖 吕萍[3] 刘军[1,2] TANG Fei;YANG Chong-ling;CAO Wei;LIU Zhao-ying;LV Ping;LIU Jun

机构地区：[1]解放军总医院第六医学中心耳鼻咽喉头颈外科医学部/国家耳鼻咽喉疾病临床医学研究中心,北京100048 [2]解放军总医院第七医学中心耳鼻咽喉头颈外科,北京100700 [3]川北医学院/川北医学院附属医院耳鼻咽喉头颈外科,南充637000

出　　处：《中国听力语言康复科学杂志》2023年第5期503-507,共5页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：北京市科技计划首都市民健康项目培育基金(Z131100004013019);解放军总医院临床科研扶持基金课题(2012FCTSYS-4017);解放军总医院科技创新基金项目(06ZY13)。

摘　　要：助听器是提高耳聋患者听力常用且安全的方法之一,但助听效果存在个体差异,与患者的自身条件、助听器品牌和型号、使用时间和频率、验配调试技术等诸多因素有关,助听效果评估是否准确至关重要。助听器效果的评估方法主要包括听力学检查和问卷评估,涉及可听度、可懂度、满意度及心理情绪等多个方面。对于婴幼儿、低龄儿童及不能配合作出反应的成人,真耳分析(real-ear measurement,REM)、皮层听觉诱发电位(CAEP)和声场多频稳态诱发电位(ASSR)是重要的客观评估方法。本文总结助听器效果评估的各种方法,为准确、全面评估助听效果,优化临床听力康复提供理论依据。Hearing aids are one of the most commonly used and safest ways to improve hearing,but there are individual differences in hearing aid effectiveness and factors such as the patient's own condition,brand and model of hearing aids,frequency and duration of use,and fitting and calibration techniques.It is also crucial to accurately evaluate the effectiveness of hearing aids.Evaluation methods include audiological evaluation and subjective questionnaire evaluation,which need to be comprehensively evaluated from the aspects of audibility,intelligibility,satisfaction,and psychological emotions.For infants,young children,and elderly individuals who cannot cooperate to provide responses,Real-ear measurement(REM),Cortical auditory evoked potential(CAEP)and Auditory steady-state responses(ASSR)are important objective evaluation methods for hearing aid effectiveness.This article summarizes the methods for evaluating the effectiveness of hearing aids,providing a theoretical basis for accurate and comprehensive evaluation of hearing aids and optimizing clinical hearing rehabilitation.

关 键 词：助听器 耳聋 气传导 骨传导 效果 评估 

分 类 号：R764.5[医药卫生—耳鼻咽喉科]