后挂式骨导助听器听力干预短期效果的临床评估  

Clinical Evaluation of the Short-term Effects Assessment of the Condyle-stimulated Headband Bone Conduction Hearing Aids on Conductive,Mixed,and Sensorineural Hearing Loss

作　　者：李蕴[1] 张宏征[2] 蔡洁青 黄美萍 杨璐 闫冰岩 宋依航 郗昕[4] LI Yun;ZHANG Hongzheng;CAI Jieqing;HUANG Meiping;YANG Lu;YAN Bingyan;SONG Yihang;XI Xin(Department of Otolaryngology-Head and Neck Surgery,Shanghai Ninth People s Hospital,Shanghai Jiaotong University School of Medicine,Ear Institute,Shanghai Jiaotong University School of Medicine,Shanghai 200011,China;不详)

机构地区：[1]上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科,上海交通大学医学院耳科学研究所,上海200011 [2]南方医科大学珠江医院耳鼻咽喉头颈外科中心 [3]深圳市韶音科技有限公司 [4]中国人民解放军总医院耳鼻咽喉头颈外科医学部,听觉与平衡觉全国重点实验室,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

出　　处：《听力学及言语疾病杂志》2025年第1期50-54,共5页Journal of Audiology and Speech Pathology

基　　金：国家重点研发计划项目(2020YFC2004005);广东省基础与应用基础研究基金地区联合基金重点项目(2022B1515120056)。

摘　　要：目的 比较韶音后挂式骨导助听器对不同类型听力损失患者的听力干预短期效果,探讨其临床应用前景。方法 55例听力损失患者(年龄18~82岁;传导性听力损失9例,感音神经性听力损失15例,混合性听力损失31例;左右耳0.5、1、2、4 kHz四个频率的骨导纯音听阈均≤60 dB HL)配戴韶音后挂式骨导助听器,分别于配戴助听器前和配戴第14±2 d行声场总体听阈、单音节识别率及安静环境语句识别阈测试,比较配戴助听器前后的结果差异。并于配戴第14±2 d使用IOI-HA问卷对助听器使用效果进行评估。结果 患者配戴后挂式骨导式助听器后声场四个频率平均听阈(39.3±4.9 dB HL)较配戴前(56.5±8.2 dB HL)显著改善,差异有统计学意义(P<0.001)。患者助听前单音节识别率(给声强度:患者助听前双音节言语识别阈减5 dB)为29.8%±11.4%,配戴第14±2 d为72.4%±14.4%,配戴后单音节识别率显著提高,差异有统计学意义(P<0.001)。患者语句识别阈由配戴前的48.6±9.7 dB HL降至34.3±5.6 dB HL,差异有统计学意义(P<0.001)。配戴14±2 d时IOI-HA问卷评估总分平均值为29.0±3.8分。结论 后挂式骨导助听器可显著提高传导性、0.5~4 kHz骨导纯音听阈不超过60 dB HL的混合性及感音神经性听力损失患者的听力及言语识别能力。Objective To study the hearing intervention effects of the Shokz condyle-stimulated headband bone-conduction hearing aid on patients with conductive,mixed,and sensorineural hearing loss and to explore its clinical application prospects.Methods A total of 55 patients with hearing loss(age 18~82)participated in the study.Among them,9 had conductive hearing loss,15 had sensorineural hearing loss,and 31 had mixed hearing loss.Their bilateral bone conduction pure tone thresholds at 0.5,1,2,and 4 kHz were all≤60 dB HL.The patients were fitted with the condyle-stimulated headband bone-conduction hearing aid.Hearing thresholds in sound field,single-syllable speech recognition scores in quiet,and sentence recognition thresholds in quiet were assessed before fitting and on the day of 14±2 after fitting to compare differences in results.The effectiveness of the hearing aids on the day of 14±2 after fitting was also evaluated using the IOI-HA questionnaire.Results After wearing the bone-conduction hearing aid,the average hearing threshold and sentence recognition threshold of the patients decreased significantly compared with before fitting(the average hearing threshold:56.5±8.2 dB HL before fitting,39.3±4.9 dB HL on the day of 14±2 after fitting;sentence recognition threshold:48.6±9.7 dB HL before fitting,34.3±5.6 dB HL on the day of 14±2 after fitting),and the difference was statistically significant(P<0.001).The single-syllable speech recognition score before fitting was 29.8%±11.4%,and on the day of 14±2 after fitting,it was 72.4%±14.4%,the difference was statistically significant(P<0.001).The average total score of the IOI-HA questionnaire was 29.0±3.8 points.Conclusion Condyle-stimulated headband bone-conduction hearing aids can significantly improve the hearing and speech recognition ability of patients with conductive,mixed and sensorineural hearing loss whose bone conduction pure tone thresholds at 0.5~4 kHz were≤60 dB HL.It may potentially improve the quality of life for patients with hearing loss a

关 键 词：听力损失 骨导助听器 言语识别率 语句识别阈 IOI-HA问卷 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]