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为什么助听器无法恢复正常听觉?

Why Do Hearing Aids Fail to Restore Normal Auditory Perception?

机构信息

Ear Institute, University College London, London, UK; Kavli Institute for Theoretical Physics, University of California, Santa Barbara, CA, USA.

出版信息

Trends Neurosci. 2018 Apr;41(4):174-185. doi: 10.1016/j.tins.2018.01.008. Epub 2018 Feb 12.

DOI:10.1016/j.tins.2018.01.008
PMID:29449017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7116430/
Abstract

Hearing loss is a widespread condition that is linked to declines in quality of life and mental health. Hearing aids remain the treatment of choice, but, unfortunately, even state-of-the-art devices provide only limited benefit for the perception of speech in noisy environments. While traditionally viewed primarily as a loss of sensitivity, hearing loss is also known to cause complex distortions of sound-evoked neural activity that cannot be corrected by amplification alone. This Opinion article describes the effects of hearing loss on neural activity to illustrate the reasons why current hearing aids are insufficient and to motivate the use of new technologies to explore directions for improving the next generation of devices.

摘要

听力损失是一种普遍存在的状况,它与生活质量和心理健康的下降有关。助听器仍然是首选的治疗方法,但不幸的是,即使是最先进的设备,在嘈杂环境中对言语感知的改善也非常有限。虽然传统上主要将听力损失视为敏感性的丧失,但也知道听力损失会导致声音诱发的神经活动的复杂失真,仅通过放大无法纠正。本文观点描述了听力损失对神经活动的影响,以说明为什么当前的助听器不够充分,并激励使用新技术探索改善下一代设备的方向。

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本文引用的文献

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Dementia prevention, intervention, and care.痴呆症的预防、干预与护理。
Lancet. 2017 Dec 16;390(10113):2673-2734. doi: 10.1016/S0140-6736(17)31363-6. Epub 2017 Jul 20.
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Effects of age and hearing loss on concurrent vowel identification.年龄和听力损失对同时进行的元音识别的影响。
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7
Time-Varying Distortions of Binaural Information by Bilateral Hearing Aids: Effects of Nonlinear Frequency Compression.双侧助听器对双耳信息的时变扭曲:非线性频率压缩的影响。
Trends Hear. 2016 Oct 3;20:2331216516668303. doi: 10.1177/2331216516668303.
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Toward a Differential Diagnosis of Hidden Hearing Loss in Humans.迈向人类隐匿性听力损失的鉴别诊断
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