Eichhorn S, Hesse G, Laubert A
HNO-Klinik, Kath. Krankenhaus Hagen gGmbH, HNO-Lehrstuhl der Universität Witten/Herdecke, Dreieckstr. 15, 58097, Hagen, Deutschland,
HNO. 2014 Nov;62(11):800-5. doi: 10.1007/s00106-014-2907-4.
There is a higher incidence of dementia among people with hearing loss, although the complex interrelation is not yet understood. The potential influence of hearing rehabilitation is also unclear. A previously published retrospective study on this topic throws doubt on the ability of dementia patients to accomplish audiometric tests. Therefore, we conducted a pilot study to analyse the feasibility of applying conventional speech and pure tone audiometry in patients with dementia. In contrast to previously published data, we were able to achieve reproducible results in almost all patients. The difficulty associated with audiometric testing in dementia patients does thus not seem to lie in the application of pure tone and speech audiometry. On the basis of evidence indicating the importance of central hearing loss in the elderly, these tests alone do not appear sufficient. It is of greater interest to ascertain whether central hearing loss is relevant in patients suffering from dementia and whether corresponding audiometric tests are feasible.
听力损失人群中痴呆症的发病率更高，尽管这种复杂的相互关系尚未完全明了。听力康复的潜在影响也不明确。此前发表的一项关于该主题的回顾性研究对痴呆症患者完成听力测试的能力提出了质疑。因此，我们开展了一项试点研究，以分析在痴呆症患者中应用传统言语和纯音听力测定法的可行性。与此前发表的数据不同，我们几乎在所有患者中都获得了可重复的结果。因此，痴呆症患者听力测试的困难似乎并不在于纯音和言语听力测定法的应用。基于有证据表明老年人中枢性听力损失的重要性，仅这些测试似乎并不够。确定中枢性听力损失在痴呆症患者中是否相关以及相应的听力测试是否可行更具意义。
