单侧耳聋病程对声源定位及噪声下言语识别的影响

Effects of the Duration and Onset Age of Single Sided Deafness on Sound Localization and Speech Recognition in Noise

乔宇斐;郝文洋;商莹莹;郭冰雅;徐春晓;倪道凤;

1:北京协和医院耳鼻咽喉科

摘要

目的探讨单侧耳聋患者的耳聋时间、发病年龄与声源定位及噪声下言语识别能力的相关性。方法 30例重度至极重度单侧感音神经性聋患者根据病程分为短期耳聋组(病程<5年,14例,患者PTA 91.07±15.17 dB HL)和长期耳聋组(≥5年,16例,患者PTA 109.30±12.30 dB HL),根据发病年龄分为4～18岁组(10例)、19～45岁组(10例)、46～60岁组(8例)以及>60岁组(2例);对各组进行声源定位测试(包括定位正确率和偏差角度均方根值)及噪声下言语识别能力测试(包括言语识别率和言语识别信噪比阈值),比较不同病程及不同发病年龄的单侧耳聋患者的声源定位及噪声下言语识别能力的差异。结果短期单侧耳聋患者的声源定位能力及噪声下言语识别能力均低于长期单侧耳聋患者,单侧耳聋患者的耳聋病程与其声源定位能力及噪声下言语识别能力均呈显著正相关,而单侧耳聋患者的发病年龄与声源定位能力及噪声下言语识别能力均呈负相关趋势。结论单侧耳聋患者随耳聋时间的延长,其声源定位能力和噪声下言语识别能力能够发生适应性改善,且发病年龄越小,这种听觉能力的改善越显著。

关键词

单侧耳聋;病程;声源定位;噪声下言语识别

基金项目(Foundation):

作者

乔宇斐;郝文洋;商莹莹;郭冰雅;徐春晓;倪道凤;

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