可接受噪声级测试在单、双耳佩戴助听器效果评估中的应用

The Use of Acceptable Noise Level on Monaural and Binaural Amplification in Hearing Aids Fitting

杨毅;王枫;谭梦喜;

1:浙江中医药大学医学技术学院

摘要

目的通过比较双侧中重度听力损失患者在单、双耳助听下的可接受噪声级(acceptable noise level,ANL),探讨ANL对助听器验配及预测助听效果的作用。方法选取15例双侧中重度听力损失患者,分别测得双耳未助听、左耳助听、右耳助听和双耳助听状态下的最舒适响度级(most comfortable levels,MCL)、最大背景噪声级(background noise level,BNL),并计算得到ANL值(ANL=MCL-BNL),对结果进行统计学分析。结果 15例受试者双耳未助听、左耳助听、右耳助听及双耳助听四种状态下测得的ANL值分别为18.87±5.26、12.60±2.47、12.00±2.90、5.13±1.25dB S/N;MCL值分别为80.40±9.28、63.73±5.15、62.27±5.36、61.80±6.05dB HL;BNL值分别为61.67±6.14、51.13±3.94、50.27±4.50、56.67±5.16dB HL;左耳助听与右耳助听下的ANL值差异无统计学意义(P>0.05);单、双耳助听下与未助听的ANL值差异均具有统计学意义(P<0.05);双耳助听状态下ANL值显著低于单耳助听(P<0.05)。结论 ANL值较低耳更利于助听器验配,佩戴助听器能有效提高听障患者对噪声的接受能力,并且双耳佩戴助听器的效果明显优于单耳。

关键词

可接受噪声级;最舒适响度级;最大背景噪声级;助听器

基金项目(Foundation):

作者

杨毅;王枫;谭梦喜;

参考文献

1陈鱼,王悦,王巍,等.单、双耳佩戴助听器对助听效果的影响[J].听力学及言语疾病杂志,2014,22:184.

2 Nabelek AK,Freyaldenhoven MC,Tampas JW,et al.Acceptable noise level as a predictor of hearing aid use[J].Journal of the American Academy of Audiology,2006,17:626.

3 Rogers DS,Harkrider AW,Burchfield SB,et al.The influence of listener's gender on the acceptance of background noise[J].Journal of the American Academy of Audiology,2003,14:372.

4 陈建勇,张华,陈静,等.普通话可接受噪声级测试材料的开发与等价性评估[J].中国耳鼻咽喉头颈外科,2011,18:136.

5 Bilger RC,Nuetzel J,Rabinowitz W,et al.Standardization of a test of speech perception in noise[J].Journal of Speech,Language,and Hearing Research,1984,27:32.

6 Plyler PN,Bahng J,Von HD.The acceptance of background noise in adult cochlear implant users[J].Journal of Speech,Language,and Hearing Research,2008,51:502.

7 Nabelek AK,Tucker FM,Letowski TR.Toleration of background noises relationship with patterns of hearing aid use by elderly persons[J].Journal of Speech,Language,and Hearing Research,1991,34:679.

8 Jiang D,李刚.可接受噪音级:预测临床助听器验配成功率的重要工具[J].中国听力语言康复科学杂志,2008(5):48.

9 徐飞.实用听力学基础[M].浙江:浙江大学出版社,2013.84~86.

10 Litovsky RY,Macmillan NA.Sound localization precision under conditions of the precedence effects of azimuth and standard stimuli[J].Jorunal of the Acoustical Society of Americ,1994,96:752.

11 张华.助听器[M].北京:人民卫生出版社,2004.170~172.

12 Kim JH,Lee JH,Lee HK.Advantages of binaural amplification to acceptable noise level of directional hearing aid users[J].Clinical and Experimental Otorhinolaryngology,2014,7:94.

13 Freyaldenhoven MC,Plyler PN,Thelin JW,et al.Acceptance of noise with monaural and binaural amplification[J].Journal of the American Academy of Audiology,2006,17:659.

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可接受噪声级最舒适响度级最大背景噪声级助听器

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杨毅王枫谭梦喜