Jardine A H, Griffiths M V, Midgley E
Royal Hospital for Sick Children, Bristol, UK.
J Laryngol Otol. 1999 Apr;113(4):314-7. doi: 10.1017/s0022215100143865.
Conservative treatment for otitis media with effusion (OME) led us to consider the use of hearing aids as a way of managing the associated hearing loss. This study aimed to assess the compliance of patients and acceptance of hearing aids for the management of children with OME. Thirty-nine children who had been given binaural hearing aids to manage OME were assessed at routine follow-up after six months. A clinician who did not prescribe the aid administered a questionnaire to assess compliance, change in symptoms and acceptance of the aids. Thirty-eight parents thought the aids were easy to use and 25 (66 per cent) were completely satisfied with the management. Aided hearing improved by a mean of 17 dB (Range 10-30) over three frequencies, 0.5, 1.0, 2.0 Khz and all parents reported subjective hearing improvement in their children. The stigma of an aid was reported as minimal under the age of seven. Hearing aids provide a non-invasive way of managing the problems associated with OME which is acceptable to certain parents and children. Long-term effects of using aids need to be evaluated before they can be recommended.
对分泌性中耳炎(OME)的保守治疗使我们考虑使用助听器作为处理相关听力损失的一种方法。本研究旨在评估患者对助听器的依从性以及儿童对使用助听器治疗OME的接受程度。39名因OME而佩戴双耳助听器的儿童在六个月后的常规随访中接受了评估。一名未开具助听器的临床医生发放了一份问卷,以评估依从性、症状变化以及对助听器的接受程度。38名家长认为助听器易于使用,25名(66%)对治疗完全满意。在0.5、1.0、2.0千赫兹三个频率上,助听后听力平均提高了17分贝(范围为10 - 30分贝),所有家长均报告其孩子的听力有主观改善。据报告,七岁以下儿童佩戴助听器的耻辱感极小。助听器为处理与OME相关的问题提供了一种非侵入性方法,某些家长和儿童可以接受。在推荐使用之前,需要评估使用助听器的长期效果。