助听器干预西藏高原地区听障患者的疗效分析
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1.西藏大学;2.西藏自治区人民医院耳鼻喉科;3.浙江中医药大学医学技术与信息工程学院;4.北京大学第三医院 耳鼻喉头颈外科学;5.西藏大学医学院;6.西藏自治区残疾人联合会听力语言康复中心

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国家自然(81860567);西藏自治区自然科学[XZ2020ZR-ZY08(Z)]。


Analysis of the Effect of Hearing Aids on Hearing Impaired Patients in Tibetan Plateau
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Medical College of Tibet University,Lhasa

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    摘要:

    摘 要:目的探讨助听器干预对久居高原地区听障患者的疗效情况。方法选取49名助听器佩戴者(63耳)进行分析,包括听力情况、听阈、助听器后言语及助听器效果国际问卷主观感受相关分析等,并对助听器补偿效果进行了综合评价。结果63耳中,中度听力损失有34耳,重度听力损失有25耳,极重度听力损失有4耳。其中单耳35例,问卷平均得分20.34;双耳14例,问卷平均得分27.07;双耳得分高于单耳分数。助听阈值显示大多数耳朵没有得到最佳的听力补偿,但补偿有统计学意义(p < 0.05) ,高频补偿更为明显。助听后言语测听显示,助听后言语最大分辨率较助听前高(p<0.05),助听言语分辨率与问卷主观评估呈正相关(r=0.528,p<0.01)。结论 高原地区听障者对助听器的使用客观听力参数与主观评价相对一致,助听效果较为显著而且双耳验配较单耳验配更具优势,总体助听效果持肯定态度。

    Abstract:

    ObjectiveTo explore the effect of hearing aid intervention on hearing impaired patients living in high altitude areas for a long time.Methods49 hearing aid wearers (63 ears) were selected for analysis, including hearing condition, hearing threshold, speech behind the hearing aid and subjective perception correlation analysis of the International Questionnaire on Hearing Aid Effects, and the compensation effect of hearing aids was comprehensively evaluated.ResultsAmong 63 ears, 34 had moderate hearing loss, 25 had severe hearing loss, and 4 had extremely severe hearing loss. Among them, 35 cases were single ear, and the average score of the questionnaire was 20.34; 14 cases were binaural, the average score of questionnaire was 27.07; Binaural scores were higher than monaural scores. Hearing aid threshold shows that most ears do not get the best hearing compensation, but the compensation is statistically significant (p<0.05), and high-frequency compensation is more obvious. The speech audiometry after hearing aid showed that the maximum speech resolution after hearing aid was higher than that before hearing aid (p<0.05). The speech resolution of hearing aid was positively correlated with the subjective evaluation of the questionnaire (r=0.528, p<0.01).ConclusionThe objective hearing parameters of hearing aids used by hearing impaired people in plateau areas are relatively consistent with the subjective evaluation. The hearing aid effect is more significant and the binaural fitting is more advantageous than the monaural fitting. The overall hearing aid effect is positive.

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  • 收稿日期:2022-10-07
  • 最后修改日期:2022-11-15
  • 录用日期:2022-11-21
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