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

李蕴;张宏征;蔡洁青;黄美萍;杨璐;闫冰岩;宋依航;郗昕

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

2:上海交通大学医学院耳科学研究所

3:南方医科大学珠江医院耳鼻咽喉头颈外科中心

4:深圳市韶音科技有限公司

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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。

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

基金项目(Foundation):

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)

作者

李蕴;张宏征;蔡洁青;黄美萍;杨璐;闫冰岩;宋依航;郗昕

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