Müller A, Hocke T, Hoppe U, Mir-Salim P
Hörzentrum Berlin (HZB), Hals-Nasen-Ohrenklinik, Vivantes Klinikum im Friedrichshain, Landsberger Allee 49, 10249, Berlin, Deutschland.
Cochlear Deutschland GmbH & Co KG, Hannover, Deutschland.
HNO. 2016 Mar;64(3):143-8. doi: 10.1007/s00106-015-0115-5.
Hearing loss is one of the most common disabilities in the elderly. The aim of this study was to investigate the relationship between pure-tone hearing loss and maximum monosyllabic perception and speech perception with hearing aids. The focus of the investigation was elderly patients.
In this prospective study, 188 patients with sensorineural hearing loss were included. The pure-tone audiogram (4FPTA), the Freiburg speech intelligibility test with headphones and the word recognition score with hearing aids at 65 dB SPL were measured and evaluated.
An increasing age was associated with higher discrepancy between the maximum speech perception and speech understanding with hearing aids. The mean difference between maximum monosyllabic perception and speech perception with hearing aids is about 20% in the elderly population.
The intended goal of hearing aid prescription, the match between maximum monosyllabic perception and word recognition score with hearing aids within 5 to 10%, is not achieved in the elderly population.
听力损失是老年人中最常见的残疾之一。本研究的目的是调查纯音听力损失与最大单音节感知以及佩戴助听器时言语感知之间的关系。研究重点为老年患者。
在这项前瞻性研究中，纳入了188例感音神经性听力损失患者。测量并评估了纯音听力图（4FPTA）、使用耳机的弗莱堡言语清晰度测试以及在65 dB SPL下佩戴助听器时的单词识别得分。
年龄增长与最大言语感知和佩戴助听器时言语理解之间的差异增大有关。在老年人群中，最大单音节感知与佩戴助听器时言语感知之间的平均差异约为20%。
在老年人群中，未实现助听器处方的预期目标，即最大单音节感知与佩戴助听器时单词识别得分之间的匹配在5%至10%以内。
