日本老年人纯音听力图结果与言语感知之间的关系。

Relationship between pure-tone audiogram findings and speech perception among older Japanese persons.

作者信息

Maeda Yukihide, Takao Soshi, Sugaya Akiko, Kataoka Yuko, Kariya Shin, Tanaka Satomi, Nagayasu Rie, Nakagawa Atsuko, Nishizaki Kazunori

机构信息

a Department of Otolaryngology - Head and Neck Surgery , Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences , Okayama , Japan.

b Department of Epidemiology , Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences , Okayama , Japan.

出版信息

Acta Otolaryngol. 2018 Feb;138(2):140-144. doi: 10.1080/00016489.2017.1378435. Epub 2017 Sep 21.

DOI:10.1080/00016489.2017.1378435

PMID:28933573

Abstract

OBJECTIVE

To clarify how the pure-tone threshold (PTT) on the PTA predicts speech perception (SP) in elderly Japanese persons.

METHODS

Data on PTT and SP were cross-sectionally analyzed in Japanese persons (656 ears in 353 patients, aged ≥65 years). Correlations of SP and average PTT in all tested frequencies were evaluated by Pearson's correlation coefficient and simple linear regression. After adjusting for sex, laterality of ears, and age, the relationship of average and frequency-specific PTT with impaired SP ≤50% was estimated by logistic regression models.

RESULTS

SP correlated well (r = -0.699) with the average PTT of all tested frequencies. On the other hand, the correlation between patient age and SP was weak, especially among ≤85-year-old persons (r = -0.092). Linear regression showed that the average PTT corresponding to SP of 50% was 76.4 dB nHL. Odds ratios for impaired SP were highest for PTT at 2000 Hz. Odds ratios were higher for middle (500, 1000, 2000 Hz) and high frequencies (4000, 8000 Hz) than low frequencies (125, 250 Hz).

CONCLUSION

The PTT on the pure-tone audiogram (PTA) is a good predictor of SP by speech audiometry among older persons, which could provide clinically important information for hearing aid fitting and cochlear implantation.

摘要

目的

阐明纯音听阈测试（PTA）中的纯音阈值（PTT）如何预测老年日本人的言语感知（SP）。

方法

对≥65岁的日本人（353例患者的656只耳）的PTT和SP数据进行横断面分析。通过Pearson相关系数和简单线性回归评估所有测试频率下SP与平均PTT的相关性。在调整性别、耳别和年龄后，通过逻辑回归模型估计平均PTT和特定频率PTT与SP受损≤50%之间的关系。

结果

SP与所有测试频率的平均PTT相关性良好（r = -0.699）。另一方面，患者年龄与SP之间的相关性较弱，尤其是在≤85岁的人群中（r = -0.092）。线性回归显示，对应于50%SP的平均PTT为76.4 dB nHL。2000 Hz时PTT导致SP受损的优势比最高。中（500、1000、2000 Hz）高频（4000、8000 Hz）的优势比高于低频（125、250 Hz）。