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[比较听力评估与筛查:一项关于老年性聋的研究]

[Comparing audiological evaluation and screening: a study on presbycusis].

作者信息

Samelli Alessandra Giannella, Negretti Camila Aparecida, Ueda Kerli Saori, Moreira Renata Rodrigues, Schochat Eliane

机构信息

Faculdade de Medicina da Universidade de São Paulo, São Paulo.

出版信息

Braz J Otorhinolaryngol. 2011 Jan-Feb;77(1):70-6. doi: 10.1590/s1808-86942011000100012.

Abstract

Given the high prevalence of presbycusis and the damage it brings about, a screening test can be useful in the identification of hearing loss in primary care. To estimate the prevalence of hearing loss in a representative sample of elderly people living at Butantan using an audiological screening method (questionnaire) and a basic audiological evaluation; to compare the results of the two kinds of evaluations, checking the validity of this tool for hearing loss screening. Cross sectional descriptive study. 200 individuals (above 60 years old, both genders) were randomly selected to undergo audiological screening (questionnaire). Another randomly selected group encompassed 100 individuals who were submitted to a set of audiological tests. Then, we compared the results from the two methods. There were no statistically significant associations between the questionnaire and the degree of hearing loss of the patients. The prevalence of hearing loss in our sample was of 56% in the screening and of 95% when checked by the audiological evaluation. Therefore, screening was not proven valid to assess hearing when compared to audiological evaluation.

摘要

鉴于老年性聋的高患病率及其所带来的损害,一项筛查测试有助于在初级保健中识别听力损失。采用听力学筛查方法(问卷调查)和基本听力学评估,以估计居住在布坦坦的具有代表性的老年人样本中听力损失的患病率;比较两种评估结果,检验该工具用于听力损失筛查的有效性。横断面描述性研究。随机选择200名个体(60岁以上,男女不限)进行听力学筛查(问卷调查)。另一个随机选择的组包括100名接受一系列听力学测试的个体。然后,我们比较了两种方法的结果。问卷调查与患者听力损失程度之间无统计学上的显著关联。在我们的样本中,筛查时听力损失的患病率为56%,经听力学评估检查时为95%。因此,与听力学评估相比,筛查未被证明对评估听力有效。

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本文引用的文献

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Auditory screening in the elderly: comparison between self-report and audiometry.老年人的听力筛查:自我报告与听力测定的比较
Braz J Otorhinolaryngol. 2005 Mar-Apr;71(2):193-200. doi: 10.1016/s1808-8694(15)31310-0. Epub 2005 Aug 2.
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Age-related hearing loss: current research.年龄相关性听力损失:当前研究
Curr Opin Otolaryngol Head Neck Surg. 2003 Oct;11(5):367-71. doi: 10.1097/00020840-200310000-00010.
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Communication screening profile: use with elderly clients.沟通筛查概况:用于老年客户。
Ear Hear. 1982 May-Jun;3(3):135-47. doi: 10.1097/00003446-198205000-00007.

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