单侧听损的听力学放大干预效果研究  

Amplification effect of hearing mechanics in unilateral hearing loss

作　　者：林泉然 方凯 史文迪 王远 查诗华 李洋 王永华[1,2,3] 陈正侬 LIN Quanran;FANG Kai;SHI Wendi;WANG Yuan;ZHA Shihua;LI Yang;WANG Yonghua;CHEN Zhengnong(Zhejiang Chinese Medical University,Hangzhou,310053,China;Hangzhou Ren'ai Deaf Rehabilitation Research in Stitute;Hui'er International Audiology Research Center;Department of Otorhinolaryngology Head and Neck Surgery,Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine)

机构地区：[1]浙江中医药大学医学技术与信息工程学院,杭州310053 [2]杭州仁爱耳聋康复研究院 [3]惠耳国际听力学研究中心 [4]上海交通大学附属第六人民医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2025年第3期239-242,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金项目(No:82071040)。

摘　　要：目的:对单侧中至重度听力损失患者进行助听放大干预,评估单侧听力损失患者验配助听器后双耳听觉功能恢复的有效程度。方法:研究选取30例一侧耳听力正常、一侧耳中至重度感音神经性听力损失患者,对其差耳验配助听器,经过半年到1年以上适应训练后,采用汉化版言语空间听觉质量量表(chinese translation of twelve-item version of SSQ,C-SSQ12)、角度识别测试、不同信噪比下的噪声下言语识别率测试(speech recognition score,SRS)和助听听阈测试评估其差耳的助听干预效果。结果:单侧听损患者助听后听阈结果、言语空间听觉质量量表得分、角度识别正确率、在SNR=5和SNR=10时的噪声下言语识别结果与助听前比较均差异有统计学意义(P<0.01)。结论:助听器放大干预对单侧中至重度听力损失患者恢复双耳听觉功能具有显著成效。Objective To evaluate the effectiveness of amplification intervention with hearing aids for restoring binaural auditory function in patients with unilateral moderate to severe sensorineural hearing loss.Methods This study selected 30 patients with normal hearing in one ear and moderate to severe sensorineural hearing loss in the other ear.They were fitted with hearing aids for the worse ear and underwent more than half a year and one year of adaptation training.The Chinese translation of the Twelve-item version of SSQ(C-SSQ12),angle identification test,speech recognition score(SRS)at different signal-to-noise ratios(SNR=5 and SNR=10)and audiometric thresholds were used to compare the results before and after hearing aid use to evaluate the effectiveness of the unilateral hearing loss intervention.Results The results of the audiometric thresholds,C-SSQ12 scores,angle identification test,and SRS at SNR=5 and SNR=10 in the worse ear of the unilateral hearing loss patients after hearing aid use were all statistically significant compared to before hearing aid use(P<0.01).Conclusion Amplification intervention with hearing aids has significant effects on restoring binaural auditory function in patients with unilateral moderate to severe sensorineural hearing loss.

关 键 词：单侧听力损失 声源定位 言语识别率 助听器 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]