中文版老年听力障碍筛查量表评分与纯音听阈测试的比较研究

A Comparative Study of the Chinese Version of the Hearing Handicap Inventory for the Elderly-Screening and Pure Tone Audiometry

余艳萍;于文永;杨向茹;田俊;王斌全;萨建;

1:山西医科大学护理学院

2:山西医科大学第一医院耳鼻咽喉头颈外科

3:山西医科大学统计学教研室

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摘要

目的探讨中文版老年听力障碍筛查量表(hearing handicap inventory for the elderly-screening,HHIE-S)评分与纯音听阈测试的关联性与差异性,为该量表的临床应用提供依据。方法 275例老年受试者(听力正常者47例、不同程度听力损失者228例)填写中文版HHIE-S量表获得评分,并进行纯音听阈测试,比较受试者中文版HHIE-S量表评分与较好耳500、1 000、2 000、4 000 Hz纯音气导听阈平均值(PTA)之间的关联性与差异性。结果 275例受试者中,PTA正常组47例,HHIE-S评分为无听力障碍者占80.85%(38/47);PTA轻度听力损失组101例,HHIE-S评分为轻中度听障者占38.61%(39/101);PTA中度听力损失组110例,HHIE-S评分为轻中度听障者占40.0%(44/110);PTA重度听力损失组17例,HHIE-S评分为重度听障者占82.35%(14/17)。HHIE-S与纯音听阈测试结果的Kappa系数为0.210(P<0.001)。HHIE-S评分与PTA的Pearson相关系数r为0.722(P<0.001)。以PTA≤25 dB HL为听力正常、HHIE-S评分≤8分表示无听力障碍,HHIE-S量表的敏感性为61.0%,特异性为80.9%,阳性预测值为93.9%,阴性预测值为29.9%。结论 HHIE-S量表与纯音听阈测试既有较好的关联性,又有差异性,二者联合应用可以全面评估老年人的听力状况。

关键词

老年听力障碍筛查量表;纯音听阈测试;比较

基金项目(Foundation):

山西省软科学研究基金项目（2016041040-3）

作者

余艳萍;于文永;杨向茹;田俊;王斌全;萨建;

参考文献

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