Seifert E, Rose S, Hahn M, Guggenmos J, Lübben D, Radü H J, Lamprecht-Dinnesen A
Klinik und Poliklinik für Phoniatrie und Pädaudiologie, Westfälische Wilhelms-Universität Münster.
HNO. 2001 May;49(5):382-7. doi: 10.1007/s001060050767.
To evaluate and possibly improve the hearing aid fittings of children attending the Westphalian School for the Hearing Impaired or the Westphalian School for the Deaf, regular pedaudiologic consulting hours were established at both schools. During a 2-year period, 115 children were examined once, 35 children twice, and 5 children three times. The examinations comprised ear microscopy, audiometry, and a check of the hearing aids with a 0.6-cm3 coupler (children up to 7 years) or 2-cm3 coupler, respectively. The following criteria were used to assess the quality of the hearing aid setting: status of the external auditory canal and middle ear, acceptance of wearing the hearing aid, status of the ear mold, technical status of the hearing aid, and its setting. The results were related to four variables: gender, type of school, age, and mean hearing loss. Overall, just 40.9% of all children showed satisfactory hearing aid performance at the first examination and just 37.1% at the second. A significant influence of the variables on the hearing aid performance was documented for hearing loss only. The higher the hearing loss, the more likely the children were to have good hearing aid status. Analysis of the different parameters revealed that an incorrect setting was the main problem, with a rate of 20.9%; the rate of the other parameters varied from 6.1% to 15.7%. Thus, no parameter was of major relevance to the results. The results of the second examination were poorer in most parameters than those of the first. These alarming results, which are probably not only of regional significance, demonstrate that the hearing aid status of children attending schools for the hearing impaired or for the deaf is in urgent need of improvement.
为了评估并可能改善就读于威斯特伐利亚听力障碍学校或威斯特伐利亚聋哑学校的儿童的助听器适配情况，两所学校都设立了定期的儿科听力咨询时间。在两年期间，115名儿童接受了一次检查，35名儿童接受了两次检查，5名儿童接受了三次检查。检查包括耳镜检查、听力测定，以及分别使用0.6立方厘米耦合器（7岁及以下儿童）或2立方厘米耦合器对助听器进行检查。采用以下标准评估助听器佩戴情况的质量：外耳道和中耳状况、佩戴助听器的接受程度、耳模状况、助听器的技术状况及其设置。结果与四个变量相关：性别、学校类型、年龄和平均听力损失。总体而言，所有儿童中只有40.9%在第一次检查时助听器性能令人满意，第二次检查时这一比例仅为37.1%。仅记录到听力损失这一变量对助听器性能有显著影响。听力损失越高，儿童助听器状况良好的可能性就越大。对不同参数的分析表明，设置不当是主要问题，发生率为20.9%；其他参数的发生率在6.1%至15.7%之间。因此，没有任何一个参数对结果具有主要相关性。第二次检查的大多数参数结果比第一次更差。这些令人担忧的结果可能不仅具有地区意义，表明就读于听力障碍学校或聋哑学校的儿童的助听器状况急需改善。
