老年性聋患者助听器验配效果及其影响因素

The Effect of Hearing Aids on Presbycusis and Its Influencing Factors

任燕;汪琪璇;盛海斌;李海峰;李蕴;黄治物;吴皓;

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上海市耳鼻疾病转化医学重点实验室上海交通大学医学院耳科学研究所上海市儿童听力障碍诊治中心

摘要

目的调查老年性聋患者对助听器效果的满意度,探讨影响老年性聋患者助听器验配效果的相关因素。方法对53例62～89岁老年性聋患者行助听前纯音测听和言语测听,获取平均听阈和最大言语识别率,进行规范化和个性化助听器验配(其中双侧助听35例,单侧助听18例),助听至少3个月(3～48个月)后使用助听器效果国际性调查问卷(IOI-HA)进行助听效果满意度调查,采用多因素线性回归分析主要因素对助听效果的影响。结果 53例老年性聋患者助听前言语识别率为84.6%±15.1%,助听前后纯音听阈均值分别为60.8±8.7 dB HL和34.8±5.6 dB HL,IOI-HA量表总评分平均为26.2±3.6分,其中双侧干预组平均26.5±4.0分,单侧干预组平均26.0±3.5分;线性回归分析表明IOI-HA总分与助听后平均听阈呈线性相关(P=0.022),多重线性回归分析表明仅助听前最大言语识别率对总评分的影响有统计学意义(P=0.002)。结论裸耳最大言语识别率是影响老年性聋患者助听器验配满意度的主要因子,验配意愿和助听后听力水平对验配效果可能有一定的影响。

关键词

老年性聋;助听器验配;最大言语识别率;助听听阈

基金项目(Foundation):

国家自然科学基金(81700903)

作者

任燕;汪琪璇;盛海斌;李海峰;李蕴;黄治物;吴皓;

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任燕汪琪璇盛海斌李海峰李蕴黄治物吴皓